IndividualActive
Jack Anderson, PH.D.
NPI 1134330947 · Clinical Psychologist · Pasadena, CA
Jack Anderson, PH.D. is a Clinical Psychologist provider in Pasadena, CA (NPI 1134330947).
Provider details
- NPI number
- 1134330947
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Credential
- PH.D.
- Sex
- Male
- Sole proprietor
- No
- License
- PSY10819 (CA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
200 E Del Mar Blvd
Suite 122
Pasadena, CA 91105-2544
Phone: (626) 792-8922
Fax: (626) 792-6504
Street-level locationGet directions
Mailing address
200 E Del Mar Blvd
Pasadena, CA 91105-2544
Registry dates
- Enumerated
- 2007-05-24
- Last updated
- 2007-07-08
Frequently asked questions
- What is Jack Anderson's NPI number?
- Jack Anderson's National Provider Identifier (NPI) is 1134330947, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jack Anderson's specialty?
- Jack Anderson is listed in the NPPES registry with a primary specialty of Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Jack Anderson located?
- Jack Anderson's practice location on file with NPPES is 200 E Del Mar Blvd, Pasadena, CA 91105-2544.
- What is Jack Anderson's phone number?
- The practice phone number listed in the NPPES registry for Jack Anderson is (626) 792-8922.
- Is Jack Anderson's NPI active?
- Yes — Jack Anderson's NPI (1134330947) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.