Individual provider Active NPI

Alan Sanford Eiser, PH.D.

  • Clinical Psychologist
  • Ann Arbor, MI
National Provider Identifier
1285843771
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6301006560 Issued in MI
Practice address
555 E William St
Suite 26D
Ann Arbor, MI 48104-2441
Phone
(734) 761-2772
NPI assigned
May 21, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 6301006560 MI
Clinical Psychologist 103TC0700X 6301006560 MI Primary

Addresses

Primary practice location

555 E William St
Suite 26D
Ann Arbor, MI 48104-2441

Mailing address

555 E William St
Suite 26D
Ann Arbor, MI 48104-2441
Phone (734) 761-2772

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
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective May 1, 2015 through May 1, 2027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6301006560MIMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1285843771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 E WILLIAM ST",
            "address_2": "SUITE 26D",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481042441",
            "telephone_number": "734-761-2772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 E WILLIAM ST",
            "address_2": "SUITE 26D",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481042441",
            "telephone_number": "734-761-2772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EISER",
        "first_name": "ALAN",
        "middle_name": "SANFORD",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-21",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301006560",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301006560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

Verify at the official NPI Registry.