Adisa Anderson, PH.D.
Adisa Anderson is a Counseling Psychologist provider (Psychologist) practicing in Berkeley, CA, registered in the NPPES registry with NPI 1174938542 since 2014. The credential PHD stands for Doctor of Philosophy.
✓ Active NPI ✓ Valid NPI checksum Sole proprietor
| NPI | 1174938542 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Adisa Anderson |
| Credential | PH.D. |
| Sex | Male |
| Practice address | Berkeley, CA, 94720 |
| Phone | 5109346255 |
| Enumeration date | 2014-06-24 |
| Last updated in NPPES | 2025-03-12 |
Street address withheld — NPPES sole-proprietor addresses can be home addresses. See our data policy.
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 101YM0800X | Mental Health Counselor | Secondary | — | — |
| 103TC1900X | Counseling Psychologist | Primary | 28984 | CA |
PHD — Doctor of Philosophy: A doctoral degree; in healthcare often held by clinical psychologists and researchers. About the PHD credential
Copy-ready billing details
Provider: Adisa Anderson, PH.D. NPI: 1174938542 Taxonomy: 103TC1900X (Counseling Psychologist) Address: Berkeley, CA, 94720
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1821033309 | Anna Harte | Individual | Internal Medicine Physician | Berkeley, CA |
| 1972522647 | Emily Moore | Individual | College Health Registered Nurse | Berkeley, CA |
| 1831296201 | Adriana Schoenberg | Individual | Family Nurse Practitioner | Berkeley, CA |
| 1861585523 | Jennifer Chou | Individual | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | Berkeley, CA |
| 1508952029 | Robert Kevess | Individual | Adult Medicine Physician | Berkeley, CA |
| 1558450676 | Alice Sun | Individual | Adult Health Nurse Practitioner | Berkeley, CA |
| 1124101068 | University Health Services, University of California, Berkeley | Organization | Student Health Clinic/Center | Berkeley, CA |
| 1710065214 | Ricky Dang | Individual | Family Medicine Physician | Berkeley, CA |
Verify this record
Cross-check NPI 1174938542 against the authoritative CMS record: view Adisa Anderson on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What specialty is Adisa Anderson?
Is this the official NPI registry?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-03-12.