Active NPI
Mercedes Tran
- School Psychologist
- Andover, MA
National Provider Identifier
1508450941
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 485440
- Practice address
- 90 Main St
Andover, MA 01810-3850 - Phone
- (978) 482-7192
- NPI assigned
- Feb 25, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 485440 | MA | Primary |
Addresses
Primary practice location
90 Main St
Andover, MA 01810-3850
Mailing address
18 Woodburn Dr
Methuen, MA 01844-2815
Phone (713) 858-3336
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 485440 | MA | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1614211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614211200000",
"number": "1508450941",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18 WOODBURN DR",
"city": "METHUEN",
"state": "MA",
"postal_code": "018442815",
"telephone_number": "713-858-3336"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "90 MAIN ST",
"city": "ANDOVER",
"state": "MA",
"postal_code": "018103850",
"telephone_number": "978-482-7192"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAN",
"first_name": "MERCEDES",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-02-25",
"last_updated": "2021-02-25",
"certification_date": "2021-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "MA",
"license": "485440",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Andover, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.