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Dr. Adisa Anderson , PhD

Psychologist - Counseling β€’ Berkeley, CA

Active NPI 1174938542 Individual Practitioner Male Practitioner
Practice location in NPPES

2222 Bancroft Way, #4300
Berkeley, CA 947204300

Call 5109346255 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

2222 Bancroft Way
#4300

Berkeley, CA 947204300

Telephone 5109346255
Organization at the Same NPPES Address or Phone
University Health Services, University Of California, Berkeley Facility NPI 1124101068

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2014

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Berkeley and California

39 active clinicians are listed under Psychologist - Counseling with a practice address in Berkeley, CA (630 in California).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Berkeley

0% of these 39 clinicians have the CMS telehealth indicator.

5.1% of these 39 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-03-12
Psychologist - Counseling Primary Specialty

NUCC Taxonomy Code: 103TC1900X

License # reported to NPPES CA 28984

A psychologist who specializes in general practice and health service. It focuses on how people function both personally and in their relationships at all ages. Counseling psychology addresses the emotional, social, work, school and physical health concerns people may have at different stages in their lives, focusing on typical life stresses and more severe issues with which people may struggle as individuals and as a part of families, groups and organizations. Counseling psychologists help people with physical, emotional and mental health issues improve their sense of well-being, alleviate feelings of distress and resolve crises. They also provide assessment, diagnosis, and treatment of more severe psychological symptoms.

Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Medical Board of California.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

3 listed
Dr. Allison Aiken , MD

Family Medicine

NPI 1376736397

Doctor of Medicine (M.D.)

NPI 1689947806

Doctor of Medicine (M.D.)

Lara Elaine Saberon , MSN, FNP-C

Nurse Practitioner - Family

NPI 1508378563

Master of Science in Nursing, Family Nurse Practitioner (Certified)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Business Mailing Address March 12, 2025

Registered at 2222 BANCROFT WAY SPC 4300, BERKELEY, CA 947204300 (Tel: 5109346255)

πŸ‘€
Provider Name / Credentials Updated March 12, 2025

Recorded as ADISA ANDERSON, PH.D.

βœ…
NPI Profile Active June 24, 2014

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) June 24, 2014

Registered at 2222 BANCROFT WAY, #4300, BERKELEY, CA 947204300 (Tel: 5106422000)

πŸ“
Business Mailing Address (Initial Record) June 24, 2014

Registered at 1890 NE MERMAN DR, APT A103, PULLMAN, WA 991635084 (Tel: 5623310808)

πŸ‘€
Provider Name / Credentials (Initial Record) June 24, 2014

Recorded as ADISA ANDERSON, B.A.

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 24, 2014

Counselor

🟒
Initial NPI Registration & Enumeration June 24, 2014

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1174938542
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 24, 2014
Last Update: March 12, 2025
Sole Proprietor: Yes

Mailing Address

2222 Bancroft Way Spc 4300

Berkeley, CA 947204300

Phone: 5109346255

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.