Krishna Anderson PHD LLC
Clinic/Center, Mental Health (Including Community Mental Health Center) in Midland Park, New Jersey
1063790764- Practice location
- 323 Godwin Ave, Midland Park, NJ 07432-1534
- Phone
- 201-444-3533
- Fax
- 201-652-9748
- Last updated
- January 14, 2026
Krishna Anderson PHD LLC is a healthcare organization based in Midland Park, NJ. Krishna Anderson PHD LLC practices in Midland Park, NJ. The NPI Number for Krishna Anderson PHD LLC is 1063790764 and holds a License No. 4864 (NJ). The current practice location address for Krishna Anderson PHD LLC is 323 Godwin Ave, Midland Park, NJ 07432-1534 and can be reached out via phone at 201-444-3533 and via fax at 201-652-9748.
Provider Profile Details
- NPI Number
- 1063790764
- Provider Name
- Krishna Anderson PHD LLC
- Provider Entity Type
- Organization
- Address
- 323 Godwin Ave, Midland Park, NJ 07432-1534
- Phone Number
- 201-444-3533
- Fax Number
- 201-652-9748
- Primary Taxonomy
- Clinic/Center, Mental Health (Including Community Mental Health Center) · 261QM0801X
- Organization Subpart
- No
- Authorized Official
- Dr. Krishna Anderson, PH D · Owner · 201-444-3533
- Provider Enumeration Date
- July 28, 2011
- Last Update Date
- January 14, 2026
- Certification Date
- January 14, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 323 Godwin Ave
Midland Park, NJ 07432-1534 - City
- Midland Park
- State
- New Jersey
- Zip
- 07432-1534
- Phone Number
- 201-444-3533
- Fax Number
- 201-652-9748
Provider Business Mailing Address Details
- Address
- 323 Godwin Ave
Midland Park, NJ 07432-1534 - City
- Midland Park
- State
- NJ
- Zip
- 07432-1534
- Phone Number
- 201-444-3533
- Fax Number
- 201-652-9748
License Information
- License Number
- 4864
- License State
- NJ
- Taxonomy
- Clinic/Center, Mental Health (Including Community Mental Health Center) · 261QM0801X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Krishna Anderson PHD LLC?
The NPI number of Krishna Anderson PHD LLC is 1063790764. It was assigned on July 28, 2011 and is currently active in the NPPES registry.
What is the specialty of Krishna Anderson PHD LLC?
Krishna Anderson PHD LLC is registered under the primary taxonomy Clinic/Center, Mental Health (Including Community Mental Health Center) (code 261QM0801X), licensed in NJ under license number 4864.
Where does Krishna Anderson PHD LLC practice?
The practice location is 323 Godwin Ave, Midland Park, NJ 07432-1534. The office can be reached at 201-444-3533 (phone) or 201-652-9748 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1063790764 directly on the NPPES registry website.