Adisa Anderson, PH.D.

Counseling Psychologist · Berkeley, CA

Individual Active NPI

NPI number 1174938542

Practice location

2222 Bancroft Way
#4300
Berkeley, CA 94720-4300
Phone
(510) 934-6255

Open in Google Maps

NPI record

NPI
1174938542
Entity type
Individual (Type 1)
Enumeration date
June 24, 2014
Last updated
March 12, 2025
Certified
March 12, 2025
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Counseling Psychologist Primary 103TC1900X 28984 CA
Mental Health Counselor 101YM0800X — —

Mailing address

2222 Bancroft Way SPC 4300
Berkeley, CA 94720-4300
Phone
(510) 934-6255

About Dr. Anderson

Adisa Anderson, PH.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Counseling Psychologist (code 103TC1900X). The practice location is 2222 Bancroft Way, #4300, Berkeley, CA 94720-4300. The NPI number 1174938542 was assigned on June 24, 2014 and the record was last updated on March 12, 2025.

Dr. Anderson lists a license in the registry: #28984 (CA) for Counseling Psychologist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Adisa Anderson, PH.D.?

The NPI number is 1174938542.

What is the phone number of Dr. Anderson?

The phone number listed for the practice location is (510) 934-6255.

Where is Dr. Anderson located?

2222 Bancroft Way, #4300, Berkeley, CA 94720-4300.

What is the taxonomy code for Dr. Anderson?

The primary taxonomy code is 103TC1900X – Counseling Psychologist; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other Counseling Psychologist providers in Berkeley

All Counseling Psychologist providers in Berkeley, CA →