KEVIN ANDERSON NPI 1821723628

NPI Information

  • NPI: 1821723628
  • Provider Name: KEVIN ANDERSON
  • Classification: Peer Specialist - 175T00000X
  • Entity Type: Individual
  • Address: 8002 KEW GARDENS RD STE 704
    KEW GARDENS, NY
    ZIP 11415
  • Phone: (718) 520-1513

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NPI Details

Kevin Anderson is a peer specialist in Kew Gardens, NY. The provider is individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. Kevin Anderson NPI is 1821723628. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

8002 KEW GARDENS RD STE 704
KEW GARDENS, NY
ZIP 11415-607
Phone: (718) 520-1513
Fax: (718) 520-6460

The enumeration date for this NPI number is 7/18/2022 and was last updated on 9/23/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1175T00000XPeer Specialist5943NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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