Eric An, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

Practice address

66 MDS (Afmc)
90 Vandenberg Drive, BLDG 1900
Hanscom AFB, MA 01731-2104

Phone

(781) 225-6789

Fax

(781) 225-2576

NPI assigned

Sep 5, 2012

Last updated

Apr 9, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1346803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523232000000",
    "number": "1851640833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 MDS (AFMC)",
            "address_2": "90 VANDENBERG DRIVE, BLDG 1900",
            "city": "HANSCOM AFB",
            "state": "MA",
            "postal_code": "017312104",
            "telephone_number": "781-225-6789",
            "fax_number": "781-225-2576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 MDS (AFMC)",
            "address_2": "90 VANDENBERG DRIVE, BLDG 1900",
            "city": "HANSCOM AFB",
            "state": "MA",
            "postal_code": "017312104",
            "telephone_number": "781-225-6789",
            "fax_number": "781-225-2576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AN",
        "first_name": "ERIC",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-09-05",
        "last_updated": "2018-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7420",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7068",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• 66TH Medsq-Hanscom
• 66TH Medsq-Hanscom (Dod Hanscom Pharmacy)
• Georgette Abboud, FNP-C
• Elizabeth Anderson, R-DMT, RYT
• Courtney J. Arrington, M.D.
• Jemma Ayvazian, N.P.
• Jennifer Dawn Bankston, WHNP
• Brayden Tyler Bennett, PHARM. D.

• Psychologist in Hanscom AFB, MA
• Providers in Hanscom AFB, MA by specialty
• Psychologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2018; 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.