Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1730306754 Individual Practitioner Male Practitioner

Dr. Benjamin Michael Anderson , PsyD

Psychologist • Newport, KY

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Benjamin Anderson, PsyD is a certified Psychologist practicing in Newport, KY. With approximately 21 years of clinical experience since completing medical education in 2005, Dr. Anderson delivers high-quality medical care to the local community at 1400 GRAND AVENUE.

Dr. Anderson is affiliated with Summit Medical Group Inc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include psychotherapy, psychiatric diagnostic evaluation. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1400 Grand Avenue

Newport, KY 41071

Telephone 8593015901
Fax 8593015940
Associated Practice Facility / Clinic
🏢 Summit Medical Group, Inc. Facility NPI 1093137812

Medicare Profile & Education

Medical School

Other

Graduation Year

2005

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Newport, KY

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
21 Yrs Matches City Avg
City Avg: 21.0 Yrs
State Avg: 18.9 Yrs
Regional Practice Density
1 Specialists

Practicing in Newport, KY (567 Statewide)

Telehealth Adoption Rate
100.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
40.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Anderson (21 Years) 21 Yrs
Newport Specialty Average (21.0 Years) 21.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2021)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
90834 Psychotherapy, 45 minutes
35 12 $168.57 $100.99

Medical Specialties & State Licenses

Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License KY 128177

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Psychologist - Clinical

NUCC Taxonomy Code: 103TC0700X

State License IL 71007260

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
7100501510 (KY)
Commercial Insurance / Payer ID Ky Medicare
K237430 (KY)

Hospital & Practice Group Affiliations

Summit Medical Group Inc

1400 Grand Ave, Newport, KY 410712570

Phone: 8599127193

Secondary Practice Locations

1811 W. Diehl Rd., Suite 700

Naperville, IL 60563

Phone: 6309830600

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Charles Brown , LPCC

Counselor - Mental Health

NPI 1013350867

Licensed Professional Clinical Counselor

Rita Biedenharn

Nurse Practitioner - Psychiatric/Mental Health

NPI 1023762408
Dr. Ann Makar , MD

Psychiatry & Neurology - Child & Adolescent Psychiatry

NPI 1043697162

Doctor of Medicine (M.D.)

NPI 1053199034

Licensed Clinical Social Worker

Dr. Bethany Campbell , MD

Psychiatry & Neurology - Psychiatry

NPI 1063641918

Doctor of Medicine (M.D.)

Dr. Nicole Abbot , MD

Psychiatry & Neurology - Psychiatry

NPI 1063895522

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

19 Historical Events
📍
Updated Practice Location March 08, 2019

Registered at 1400 GRAND AVENUE, NEWPORT, KY 41071 (Tel: 8593015901)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 08, 2019

Psychologist (License #128177 in KY)

📍
Updated Practice Location August 29, 2018

Registered at 334 THOMAS MORE PKWY, CRESTVIEW HILLS, KY 41017 (Tel: 8593015901)

📍
Updated Business Mailing Address August 29, 2018

Registered at PO BOX 635283, CINCINNATI, OH 452635283 (Tel: 8593015901)

📍
Updated Practice Location March 19, 2018

Registered at 334 THOMAS MORE PKWY, CRESTVIEW HILLS, KY 410173464 (Tel: 8593015901)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 19, 2018

Psychologist (License #71007260 in IL)

NPI Profile Active January 30, 2018

NPI status registered as active in NPPES database

📍
Updated Business Mailing Address January 30, 2018

Registered at 2300 CHAMBER CENTER DR., SUITE 300, FORT MITCHELL, KY 41017 (Tel: 8599053962)

📍
Updated Practice Location January 30, 2018

Registered at 1811 W. DIEHL RD., SUITE 700, NAPERVILLE, IL 60563 (Tel: 6309830600)

👤
Provider Name / Credentials Updated January 30, 2018

Recorded as BENJAMIN ANDERSON, PSY.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 30, 2018

Psychologist (License #71007260 in IL)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 30, 2018

Psychologist (License #128177 in KY)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 30, 2017

Psychologist (License #128177 in KY)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 1811 W. DIEHL RD., SUITE 700, NAPERVILLE, IL 60563 (Tel: 6309830600)

📍
Updated Business Mailing Address July 08, 2007

Registered at 1811 W. DIEHL RD., SUITE 700, NAPERVILLE, IL 60563 (Tel: 6309830600)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as BENJAMIN ANDERSON, PSY.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Psychologist (License #71007260 in IL)

🟢
Initial NPI Registration & Enumeration April 19, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1730306754
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 19, 2007
Last Update: March 08, 2019
Sole Proprietor: No

Mailing Address

Po Box 635283

Cincinnati, OH 452635283

Phone: 8593015901

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.