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

Dr. Benjamin Michael Anderson, PSYD

Individual provider Clinical Psychologist · NPI 1730306754

Dr. Benjamin Michael Anderson, PSYD is a Clinical Psychologist in Newport, Kentucky. Qualified in 2005, 21 years ago. Practices with Summit Medical Group Inc, a 799-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Illinois and Kentucky.

Years since qualifying
21
Licensed in
IL, KY
In the registry since
2007
Specialties on file
2
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

1400 Grand Ave
Newport, KY 41071
Phone: (859) 301-5901
Fax: (859) 301-5940
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1811 W. Diehl Rd., Naperville, IL 60563 — (630) 983-0600

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 128177 (KY)
Clinical Psychologist Taxonomy 103TC0700X · Licence 71007260 (IL)

Record details

NPI number1730306754
Entity typeIndividual (Type 1)
GenderMale
Credentials PSYD
Sole proprietorNo
NPI enumeratedApril 19, 2007
Last updated in NPPESMarch 8, 2019
Mailing addressPo Box 635283, Cincinnati, OH 45263-5283

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Summit Medical Group Inc — 799 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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