Active NPI
Aldrich Chan, PSYCHOLOGIST
- Clinical Neuropsychologist
- Coral Gables, FL
National Provider Identifier
1639736473
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- 10132
- Practice address
- 2601 SW 37TH Ave Ste 703
Coral Gables, FL 33133-2750 - Phone
- (786) 505-2824
- NPI assigned
- May 28, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | 10132 | FL | Primary |
Addresses
Primary practice location
2601 SW 37TH Ave Ste 703
Coral Gables, FL 33133-2750
Mailing address
2601 SW 37TH Ave Ste 703
Coral Gables, FL 33133-2750
Phone (786) 505-2824
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10132 | Other | FL | LICENSE NUMBER |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10132 | FL | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559001600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559001600000",
"number": "1639736473",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2601 SW 37TH AVE STE 703",
"city": "CORAL GABLES",
"state": "FL",
"postal_code": "331332750",
"telephone_number": "786-505-2824"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2601 SW 37TH AVE STE 703",
"city": "CORAL GABLES",
"state": "FL",
"postal_code": "331332750",
"telephone_number": "786-505-2824"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAN",
"first_name": "ALDRICH",
"credential": "PSYCHOLOGIST",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-05-28",
"last_updated": "2019-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Clinical Neuropsychologist",
"state": "FL",
"license": "10132",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "10132",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Coral Gables, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.