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MICHELINE RUTH ANDERSON PHD
NPI 1861187676
Psychologist - Clinical in Providence, RI

Active since April 07, 2023PECOS EnrolledAccepts Medicare Assignment
146 W RIVER ST FL 3, PROVIDENCE, RI 02904(401) 793-5700 Get Directions Write a Review

NPPES record last updated: June 7, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 7, 2023, Apr 7, 2023 (2 updates tracked since 2023).

About Micheline Ruth Anderson Phd NPPES

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

MICHELINE RUTH ANDERSON PHD (NPI 1861187676) is an individual clinical provider in Providence, Rhode Island, licensed in Rhode Island (PS02142) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1861187676
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameMICHELINE RUTH ANDERSONCredential: PHD
Location Address146 W RIVER ST FL 3Providence, RI 02904-2609
Mailing Address117 Ellenfield St Ste 101Providence, RI 02905-4541 · (401) 444-6779 · Fax (401) 444-6912
Phone(401) 793-5700
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateApril 7, 2023
Last NPPES UpdateJune 7, 20232 updates tracked since enumeration
NPPES CertifiedJune 7, 2023
✔ NPI 1861187676 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in RI · PS02142
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
146 W RIVER ST FL 3, Providence, RI 02904
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Harvard Pilgrim Health Care.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Micheline Ruth Anderson Phd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6709246549
PECOS Enrollment IDI20230712002251
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 Micheline Anderson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Lifespan Physician Group Inc
0.9 mi
Urology
195 COLLYER ST STE 201
Providence, RI 02904
  • Reassigned Medicare billing, Rhode Island enrollment
  • Also billed through NPI 1548506793 (Rhode Island)
  • 1,372 clinicians in this Medicare group
NPI 1720949803 (401) 272-7799

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02904 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$177.03 typical visit price
range $58.57 – $177.03
Typical copayment $44.25 (range $14.64 – $44.25)
Most-billed visit code 99205
Established Patient
$103.10 typical visit price
range $18.92 – $144.38
Typical copayment $25.77 (range $4.73 – $36.09)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 12

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

ELIZABETH A SAMUELS NP
Nurse Practitioner
146 W RIVER ST FL 3
PROVIDENCE, RI 02904
Providence County (401) 793-5700
DR. CAILEY INDECH DO
Family Medicine
146 W RIVER ST FL 3
PROVIDENCE, RI 02904
Providence County (401) 793-5700
RITA BLANKO
Nurse Practitioner
146 W RIVER ST FL 3
PROVIDENCE, RI 02904
Providence County (401) 793-5700
DR. BETSY A KRUGLIAK PSY.D.
Psychologist (Clinical)
146 W RIVER ST FL 3
PROVIDENCE, RI 02904
Providence County (401) 444-6779
NAVNEET KAUR M.D.
Internal Medicine
146 W RIVER ST FL 3
PROVIDENCE, RI 02904
Providence County (401) 793-5700
TARRA EVANS MD
Obstetrics & Gynecology (Gynecologic Oncology)
146 W RIVER ST FL 3
PROVIDENCE, RI 02904
Providence County (401) 793-5700
DR. JOANNA VAZ MACLEAN M.D.
Psychiatry & Neurology (Psychiatry)
146 W RIVER ST FL 3
PROVIDENCE, RI 02904
Providence County (401) 793-7370
DR. ROSYMAR ESMERALDA MARCUCCI RODRIGUEZ MD
Internal Medicine
146 W RIVER ST FL 3
PROVIDENCE, RI 02904
Providence County (401) 793-7010

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 Micheline Anderson's NPI number?

The NPI number for Micheline Anderson is 1861187676. It was assigned to this individual provider in the NPPES registry on April 7, 2023.

Where is Micheline Anderson located?

Micheline Anderson practices at 146 W River St Fl 3, Providence, RI 02904. The listed phone number is (401) 793-5700.

What is Micheline Anderson's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Micheline Anderson enrolled in Medicare?

Yes. Micheline Anderson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Micheline Anderson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Micheline Anderson reassigns Medicare benefits to Lifespan Physician Group Inc (Providence, RI). 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 Micheline Anderson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Micheline Anderson accept?

Health plans from Harvard Pilgrim Health Care list Micheline 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 Micheline Anderson was last updated on June 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.