DR. ELIZABETH JAYNE ANDERSON PH.D.
NPI 1932987880
Psychologist in Melbourne, FL

Active since September 20, 2023PECOS Enrolled
6767 N WICKHAM RD STE 306, MELBOURNE, FL 32940(321) 751-1925 Get Directions Write a Review

NPPES record last updated: October 10, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 10, 2025, Sep 12, 2024 (2 updates tracked since 2024).

About Dr. Elizabeth Jayne Anderson Ph.d. NPPES

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

DR. ELIZABETH JAYNE ANDERSON PH.D. (NPI 1932987880) is an individual psychologist in Melbourne, Florida, licensed in Florida (PY12974) and active in the NPI registry since September 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1932987880
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. ELIZABETH JAYNE ANDERSONCredential: PH.D.
Location Address6767 N WICKHAM RD STE 306Melbourne, FL 32940-2025
Mailing Address6767 N Wickham Rd Ste 306Melbourne, FL 32940-2025 · (321) 751-1925
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateSeptember 20, 2023
Last NPPES UpdateOctober 10, 20252 updates tracked since enumeration
NPPES CertifiedOctober 10, 2025
NPI 1932987880 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Licenses Licensed in FL · PY12974 Licensed in FL · 385
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.
6767 N WICKHAM RD STE 306, Melbourne, FL 32940

Other Names 1

Professional Name (2)Dr. Betty Anderson Phd

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Elizabeth Jayne Anderson Ph.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9032600986
PECOS Enrollment IDI20251118004154
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.

Other Providers at the Same Location NPPES 4

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

Nurse Practitioner (Psychiatric/Mental Health)
6767 N WICKHAM RD STE 306
MELBOURNE, FL 32940
Psychologist (Family)
6767 N WICKHAM RD STE 306
MELBOURNE, FL 32940
Psychologist
6767 N WICKHAM RD STE 306
MELBOURNE, FL 32940
Counselor (Mental Health)
6767 N WICKHAM RD STE 306
MELBOURNE, FL 32940

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 Elizabeth Anderson's NPI number?

The NPI number for Elizabeth Anderson is 1932987880. It was assigned to this individual provider in the NPPES registry on September 20, 2023. The provider is also known as Dr. Betty Anderson Phd.

Where is Elizabeth Anderson located?

Elizabeth Anderson practices at 6767 N Wickham Rd Ste 306, Melbourne, FL 32940. The listed phone number is (321) 751-1925.

What is Elizabeth Anderson's specialty?

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

Is Elizabeth Anderson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Elizabeth Anderson was last updated on October 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.