Krishna Anderson PHD LLC
NPI 1063790764 · Mental Health Clinic/Center (Including Community Mental Health Center) · Midland Park, NJ
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Krishna Anderson PHD LLC is a Mental Health Clinic/Center (Including Community Mental Health Center) organization in Midland Park, NJ (NPI 1063790764).
Provider details
- NPI number
- 1063790764
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Krishna Anderson, Owner(201) 444-3533
- License
- 4864 (NJ)
Specialties & taxonomies
- Mental Health Clinic/Center (Including Community Mental Health Center)Primary261QM0801XLicense 4864 (NJ)
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2011-07-28
- Last updated
- 2026-01-14
- Certified
- 2026-01-14
Frequently asked questions
- What is Krishna Anderson PHD LLC's NPI number?
- Krishna Anderson PHD LLC's National Provider Identifier (NPI) is 1063790764, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Krishna Anderson PHD LLC?
- Krishna Anderson PHD LLC is classified in the NPPES registry as Mental Health Clinic/Center (Including Community Mental Health Center) (Ambulatory Health Care Facilities).
- Where is Krishna Anderson PHD LLC located?
- Krishna Anderson PHD LLC's practice location on file with NPPES is 323 Godwin Ave, Midland Park, NJ 07432-1534.
- What is Krishna Anderson PHD LLC's phone number?
- The practice phone number listed in the NPPES registry for Krishna Anderson PHD LLC is (201) 444-3533.
- Does Krishna Anderson PHD LLC accept Medicare?
- Krishna Anderson PHD LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Krishna Anderson PHD LLC?
- The authorized official listed on Krishna Anderson PHD LLC's NPPES record is Krishna Anderson, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Krishna Anderson PHD LLC's NPI active?
- Yes — Krishna Anderson PHD LLC's NPI (1063790764) is active in the NPPES registry as of the last update on 2026-01-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.