Andrew J. Nathan

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

973 Issued in NH

Practice address

2 Franklin St
Exeter, NH 03833-2819

Phone

(603) 772-3462

Fax

(603) 778-3930

NPI assigned

Jan 5, 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

Opted out of Medicare

Yes, effective Mar 15, 2022 through Mar 15, 2028

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Elliot Physicians Network

  • Family Medicine Physician
  • Manchester, NH
  • NPI 1831191659
  NPD (past)
• Elliot Professional Services

  • Internal Medicine Physician
  • Manchester, NH
  • NPI 1285627935
  NPD (past)

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1922156272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 FRANKLIN ST",
            "city": "EXETER",
            "state": "NH",
            "postal_code": "038332819",
            "telephone_number": "603-772-3462",
            "fax_number": "603-778-3930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 FRANKLIN ST",
            "city": "EXETER",
            "state": "NH",
            "postal_code": "038332819",
            "telephone_number": "603-772-3462",
            "fax_number": "603-778-3930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NATHAN",
        "first_name": "ANDREW",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NH",
            "license": "973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey M Myers, DC
• Julia A Myers, DC
• Amy Haver Nardi, DPT
• Nicole Natale, MS, LMFT
• Natalie a Laucius DMD PLLC (Exeter Pediatric Dentistry)
• Michelle S Nathan, MD
• Navigate Healing PLLC
• Kiara Nelson
• Barbara Nesbitt, MENTAL HEALTH CLINIC
• New England Brace Co., Inc.

• Clinical Psychologist in Exeter, NH
• Providers in Exeter, NH by specialty
• Clinical Psychologist in New Hampshire

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.