Jeffrey Andreas Tan, PH.D.

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

License

RPS#2005201 Issued in CA

Practice address

5000 W Sunset Blvd FL 4
Citibank Building
Los Angeles, CA 90027-5861

Phone

(323) 660-2450

NPI assigned

Mar 23, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164549358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5160 DENNY AVE APT 19",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916014046",
            "telephone_number": "323-660-2450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 W SUNSET BLVD FL 4",
            "address_2": "CITIBANK BUILDING",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900275861",
            "telephone_number": "323-660-2450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAN",
        "first_name": "JEFFREY",
        "middle_name": "ANDREAS",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "CA",
            "license": "RPS#2005201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hongying Tan, MD
• Howard Tan
• Hung-Jui Tan, M.D.
• Ivana Giok-Bie Tan
• James Anthony Tan
• Jeffrey Jing Tan, M.D.
• John Muguang Tan
• Katie Le Tan, P.A
• Kevin Christopher Tan, MD
• Khek-Teck Tan, M.D.

• Clinical Child & Adolescent Psychologist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Clinical Child & Adolescent Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.