Individual provider Active NPI

Frank Vansanten, PH.D.

  • Clinical Psychologist
  • Hanover, NH
National Provider Identifier
1093267478
Registry record updated Sep 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1506 Issued in NH
Practice address
45 Lyme Rd Ste 300
Hanover, NH 03755-1223
Phone
(603) 755-6535
NPI assigned
Nov 1, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 071009402 IL
Clinical Psychologist 103TC0700X 1506 NH Primary

Addresses

Primary practice location

45 Lyme Rd Ste 300
Hanover, NH 03755-1223

Mailing address

45 Lyme Rd Ste 300
Hanover, NH 03755-1223
Phone (603) 874-4500

Other practice location 1

2315 Campus Dr
Evanston, IL 60208-0897
Phone (847) 467-1198

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Sep 20, 2022 through Sep 20, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
071009402ILMDClinical Psychologist
1506NHMDAthletic Trainer

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1477958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662595200000",
    "number": "1093267478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 LYME RD STE 300",
            "city": "HANOVER",
            "state": "NH",
            "postal_code": "037551223",
            "telephone_number": "603-874-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 LYME RD STE 300",
            "city": "HANOVER",
            "state": "NH",
            "postal_code": "037551223",
            "telephone_number": "603-755-6535"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2315 Campus Dr",
            "address_purpose": "LOCATION",
            "city": "Evanston",
            "state": "IL",
            "postal_code": "602080897",
            "country_code": "US",
            "telephone_number": "847-467-1198",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VANSANTEN",
        "first_name": "FRANK",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-11-01",
        "last_updated": "2022-09-08",
        "certification_date": "2022-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071009402",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NH",
            "license": "1506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hanover, NH

Sources for this page

Verify at the official NPI Registry.