DR. MARK BRIAN ANDERSON ED.D.
NPI 1952455123
Psychologist in Southfield, MI

Active since January 23, 2007PECOS EnrolledAccepts Medicare Assignment
29260 FRANKLIN RD, STE 110, SOUTHFIELD, MI 48034(248) 722-1652(248) 485-6798 Get Directions Write a Review

NPPES record last updated: November 6, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Mark Brian Anderson Ed.d. NPPES

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

DR. MARK BRIAN ANDERSON ED.D. (NPI 1952455123) is an individual psychologist in Southfield, Michigan, licensed in Michigan (6301011646) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS and is a graduate of Other (2000).

NPPES Registry Identity

NPI1952455123
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDR. MARK BRIAN ANDERSONCredential: ED.D.
Location Address29260 FRANKLIN RD, STE 110Southfield, MI 48034-1196
Mailing Address29260 Franklin Rd, Ste 110Southfield, MI 48034-1196 · (248) 722-1652 · Fax (248) 485-6798
Fax(248) 485-6798
Sole ProprietorYes
Medical School CMSOtherGraduated 2000
Enumeration DateJanuary 23, 2007
Last NPPES UpdateNovember 6, 2017
NPI 1952455123 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 MI · 6301011646
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.
29260 FRANKLIN RD, Southfield, MI 48034

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Mark Brian Anderson Ed.d. 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 ID3375527047
PECOS Enrollment IDI20040618000098
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 20

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

Psychologist (Clinical)
29260 FRANKLIN RD, SUITE 101
SOUTHFIELD, MI 48034
Counselor (Professional)
29260 FRANKLIN RD, SUITE 120
SOUTHFIELD, MI 48034
Psychologist (Clinical)
29260 FRANKLIN RD, SUITE 109
SOUTHFIELD, MI 48034
Social Worker (Clinical)
29260 FRANKLIN RD, SUITE 110
SOUTHFIELD, MI 48034
Psychiatry & Neurology (Psychiatry)
29260 FRANKLIN RD, SUITE 107
SOUTHFIELD, MI 48034
Psychologist (Clinical)
29260 FRANKLIN RD, SUITE 121
SOUTHFIELD, MI 48034
Social Worker (Clinical)
29260 FRANKLIN RD, #111
SOUTHFIELD, MI 48034
Psychologist (Counseling)
29260 FRANKLIN RD, SUITE 121
SOUTHFIELD, MI 48034

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 Mark Anderson's NPI number?

The NPI number for Mark Anderson is 1952455123. It was assigned to this individual provider in the NPPES registry on January 23, 2007.

Where is Mark Anderson located?

Mark Anderson practices at 29260 Franklin Rd Ste 110, Southfield, MI 48034. The listed phone number is (248) 722-1652.

What is Mark Anderson's specialty?

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

Is Mark Anderson enrolled in Medicare?

Yes. Mark 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.

What insurance does Mark Anderson accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community, Oscar Insurance Company and Priority Health and 2 other insurers list Mark 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 Mark Anderson was last updated on November 6, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.