Charles C. Anderson Ed.d Reg Psy
NPI 1194963082 · Adult Mental Health Clinic/Center · Chicago, IL
Charles C. Anderson Ed.d Reg Psy is a Adult Mental Health Clinic/Center organization in Chicago, IL (NPI 1194963082).
Provider details
- NPI number
- 1194963082
- Entity type
- Organization
- Primary specialty
- Adult Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Charles Anderson, President(847) 398-1717
- License
- 071.002741 (IL)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 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
- 2009-01-30
- Last updated
- 2009-01-30
Frequently asked questions
- What is Charles C. Anderson Ed.d Reg Psy's NPI number?
- Charles C. Anderson Ed.d Reg Psy's National Provider Identifier (NPI) is 1194963082, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Charles C. Anderson Ed.d Reg Psy?
- Charles C. Anderson Ed.d Reg Psy is classified in the NPPES registry as Adult Mental Health Clinic/Center (Ambulatory Health Care Facilities).
- Where is Charles C. Anderson Ed.d Reg Psy located?
- Charles C. Anderson Ed.d Reg Psy's practice location on file with NPPES is 2030 N Magnolia Ave, Chicago, IL 60614-4010.
- What is Charles C. Anderson Ed.d Reg Psy's phone number?
- The practice phone number listed in the NPPES registry for Charles C. Anderson Ed.d Reg Psy is (847) 398-1717.
- Who is the authorized official for Charles C. Anderson Ed.d Reg Psy?
- The authorized official listed on Charles C. Anderson Ed.d Reg Psy's NPPES record is Charles Anderson, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Charles C. Anderson Ed.d Reg Psy's NPI active?
- Yes — Charles C. Anderson Ed.d Reg Psy's NPI (1194963082) is active in the NPPES registry as of the last update on 2009-01-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.