MERCEDES ANDERSON PHD
NPI 1639945728
Psychologist in Gilbert, AZ

Active since November 29, 2023PECOS Enrolled
1772 E BOSTON ST STE 105, GILBERT, AZ 85295(480) 621-7257(480) 584-5825 Get Directions Write a Review

NPPES record last updated: November 29, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mercedes Anderson Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MERCEDES ANDERSON PHD (NPI 1639945728) is an individual psychologist in Gilbert, Arizona, licensed in Arizona (PSY-005683) and active in the NPI registry since November 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639945728
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameMERCEDES ANDERSONCredential: PHD
Location Address1772 E BOSTON ST STE 105Gilbert, AZ 85295-6243
Mailing Address1772 E Boston St Ste 105Gilbert, AZ 85295-6243 · (480) 621-7257 · Fax (480) 584-5825
Fax(480) 584-5825
Sole ProprietorYes
Enumeration DateNovember 29, 2023
NPPES CertifiedNovember 29, 2023
✔ NPI 1639945728 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License✔ Licensed in AZ · PSY-005683
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
1772 E BOSTON ST STE 105, Gilbert, AZ 85295

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mercedes Anderson Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Mercedes Anderson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Clinical
1772 E BOSTON ST, BLDG 5 STE 105
Gilbert, AZ 85295
  • Reassigned Medicare billing, Arizona enrollment
  • 6 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist (Clinical)
1772 E BOSTON ST STE 105
GILBERT, AZ 85295
Psychologist (Clinical)
1772 E BOSTON ST STE 105
GILBERT, AZ 85295

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mercedes Anderson's NPI number?

The NPI number for Mercedes Anderson is 1639945728. It was assigned to this individual provider in the NPPES registry on November 29, 2023.

Where is Mercedes Anderson located?

Mercedes Anderson practices at 1772 E Boston St Ste 105, Gilbert, AZ 85295. The listed phone number is (480) 621-7257.

What is Mercedes Anderson's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Mercedes Anderson enrolled in Medicare?

Yes. Mercedes Anderson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mercedes Anderson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mercedes Anderson reassigns Medicare benefits to Spectrum Psychology And Wellness, LLC (Gilbert, AZ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mercedes Anderson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mercedes Anderson accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Cigna HealthCare of Arizona, Inc and UnitedHealthcare list Mercedes Anderson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mercedes Anderson was last updated on November 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.