Alan C Eggert, PHD

Primary specialty

School PsychologistTaxonomy code 103TS0200X

License

4589 Issued in SC

Practice address

1390 Cavalier Way
Roebuck, SC 29376-3367

Phone

(864) 576-4212

Fax

(864) 595-2411

NPI assigned

Jan 10, 2013

Sex

Male

Sole proprietor

Yes

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Spartanburg County School District Six

  • Local Education Agency (LEA)
  • Roebuck, SC
  • NPI 1104875244
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 10, 2013.

{
    "created_epoch": "1357776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357776000000",
    "number": "1073850004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1390 CAVALIER WAY",
            "city": "ROEBUCK",
            "state": "SC",
            "postal_code": "293763367",
            "telephone_number": "864-576-4212",
            "fax_number": "864-595-2411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1390 CAVALIER WAY",
            "city": "ROEBUCK",
            "state": "SC",
            "postal_code": "293763367",
            "telephone_number": "864-576-4212",
            "fax_number": "864-595-2411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EGGERT",
        "first_name": "ALAN",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-01-10",
        "last_updated": "2013-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "SC",
            "license": "4589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaelyn Chavis, BCABA
• Lawrence Andrew Cooper, SOLE PROPRIETOR
• Laura D B Cothran, LPN
• Jamie Duncan-Chapman, BCBA
• Judy Waddell Edwards, R.N.
• Kwamaine Jamel Ferguson
• Rebecca Hendrix Finley, PHARMD
• Freds Stores of Tennessee Inc
• Sarah Elizabeth Frye, MS, ATC, PES
• Carla Franklin Gentry, MD

• All providers in Roebuck, SC
• School Psychologist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.