Xiaoyan Fan PHD LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

XIAOYAN FAN PHD LLC

Practice address

186 Alewife Brook Pkwy # 1186
Cambridge, MA 02138-1121

Phone

(781) 409-1325

NPI assigned

Apr 5, 2022

Last updated

Apr 5, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Xiaoyan FanNPI 1356898316

Title

Licensed Psychologist

Phone

(781) 409-1325

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Xiaoyan Fan, PH.D

  • Counseling Psychologist
  • Cambridge, MA
  • NPI 1356898316
  NPD Authorized official

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

{
    "created_epoch": "1649116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649116800000",
    "number": "1962143966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 LAWRENCE LN",
            "city": "BELMONT",
            "state": "MA",
            "postal_code": "024783331",
            "telephone_number": "408-834-9758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "186 ALEWIFE BROOK PKWY # 1186",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021381121",
            "telephone_number": "781-409-1325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "XIAOYAN FAN PHD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-05",
        "last_updated": "2022-04-05",
        "certification_date": "2022-04-04",
        "status": "A",
        "authorized_official_last_name": "FAN",
        "authorized_official_first_name": "XIAOYAN",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "781-409-1325"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniela Valle Wyatt, DMD
• Sarah Wyka, FNP-C
• Nutchapon Xanthavanij, M.D.
• Tiago Costa Xavier, PHARMACY INTERN
• Joyce Xia, MD
• Jing Xie
• Jingfeng Xie, D.M.D
• Vasiliki Xirou, MD
• XPC Health PLLC
• Bo Xu, MD

• Clinical Psychologist in Cambridge, MA
• Providers in Cambridge, MA by specialty
• Clinical Psychologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2022; 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.