Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Adisa Anderson, PHD

Individual provider Mental Health Counselor · NPI 1174938542

Adisa Anderson, PHD is a Mental Health Counselor in Berkeley, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2014
Specialties on file
2
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

See every abbreviation used in this directory →

Practice location Address checks out

2222 Bancroft Way #4300
Berkeley, CA 94720-4300
Phone: (510) 934-6255
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counseling Psychologist (primary) Taxonomy 103TC1900X · Licence 28984 (CA)
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1174938542
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorYes
NPI enumeratedJune 24, 2014
Last updated in NPPESMarch 12, 2025
Certification dateMarch 12, 2025
Mailing address2222 Bancroft Way Spc 4300, Berkeley, CA 94720-4300

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