Basic Information
| Provider Information | |||||||||
| NPI: | 1285725275 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | ANDERSON | ||||||||
| FirstName: | SHERIAN | ||||||||
| MiddleName: | |||||||||
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| Credential: | PHD | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 440100 | ||||||||
| Address2: | |||||||||
| City: | NASHVILLE | ||||||||
| State: | TN | ||||||||
| PostalCode: | 372440100 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6153290570 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 250 25TH AVE N | ||||||||
| Address2: | STE 100 | ||||||||
| City: | NASHVILLE | ||||||||
| State: | TN | ||||||||
| PostalCode: | 372031632 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6153205090 | ||||||||
| FaxNumber: | 6153201225 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/27/2006 | ||||||||
| LastUpdateDate: | 02/27/2012 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 103TC0700X | P2448 | TN | Y | Behavioral Health & Social Service Providers | Psychologist | Clinical |
ID Information
| ID | Type | State | Issuer | Description | 4023744 | 01 | BCBS | OTHER | 293199000 | 01 | MAGELLAN | OTHER | 293199000 | 01 | PREMIER/TN BEHAVIORAL HEA | OTHER | 192062 | 01 | COMPSYCH | OTHER | 680014969 | 01 | RR MEDICARE | OTHER | 107320 | 01 | UNITED HEALTHCARE | OTHER |