Active NPI
Alan H Nathan, PSY.D.
- Clinical Psychologist
- Silver Spring, MD
National Provider Identifier
1083835664
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 04371
- Practice address
- 8607 Cedar St
Silver Spring, MD 20910-4324 - Phone
- (301) 442-1713
- NPI assigned
- May 1, 2007
- Last updated
- Oct 25, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 0810003351 | VA | |
| Clinical Psychologist | 103TC0700X | 04371 | MD | Primary |
Addresses
Primary practice location
8607 Cedar St
Silver Spring, MD 20910-4324
Mailing address
5 East Hamilton Avenue
Silver Spring, MD 20901
Phone (301) 588-9209
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Apr 27, 2020 through Apr 27, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04371 | MD | MD | Clinical Psychologist |
| 0810003351 | VA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193270400000",
"number": "1083835664",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 EAST HAMILTON AVENUE",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "20901",
"telephone_number": "301-588-9209"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8607 CEDAR ST",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209104324",
"telephone_number": "301-442-1713"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NATHAN",
"first_name": "ALAN",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-01",
"last_updated": "2007-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "VA",
"license": "0810003351",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MD",
"license": "04371",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Silver Spring, MD
- Anil K Narang, DO
- Kerri Nardone, D.O.
- Azadeh Nassiri, D.M.D
- Rostam Nassiri, M.D.
- Mgambi Nasson
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.