Ms Jill Louise Anderson, PSYD is a
Psychologist - Clinical based in Sausalito, California. Ms Jill Louise Anderson is licensed to practice in California (license number 31904) and her current practice location is
2400 Bridgeway, Sausalito, California. She can be reached at her office (for appointments etc.) via phone at
(415) 272-6850.
NPI number for Ms Jill Louise Anderson is 1386805661 and her current mailing address is Po Box 204, Sausalito, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1386805661.
Healthcare Provider's Profile
| Full Name | Ms Jill Louise Anderson |
|---|
| Gender | Female |
|---|
| Speciality | Psychologist - Clinical |
|---|
| Location | 2400 Bridgeway, Sausalito, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1386805661
- Provider Enumeration Date: 06/19/2008
- Last Update Date: 07/29/2020
Medical Identifiers
Medical identifiers for Ms Jill Louise Anderson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1386805661 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 103T00000X | Psychologist | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 103TC0700X | Psychologist - Clinical | 31904 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Jill Louise Anderson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ms Jill Louise Anderson, PSYD
Po Box 204,
Sausalito, CA 94966-0204
Ph: (415) 272-6850 | Ms Jill Louise Anderson, PSYD
2400 Bridgeway,
Sausalito, CA 94965-2850
Ph: (415) 272-6850 |
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