Active NPI
Efrat Eichenbaum, LP, PHD
- Clinical Neuropsychologist
- Phoenix, AZ
National Provider Identifier
1003265786
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- PSY-005404
- Practice address
- 222 W Thomas Rd Ste 401
Phoenix, AZ 85013-4423 - Phone
- (602) 406-3473
- Fax
- (602) 406-4406
- NPI assigned
- Jun 3, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | LP5910 | MN | |
| Clinical Neuropsychologist | 103G00000X | PSY-005404 | AZ | Primary |
Addresses
Primary practice location
222 W Thomas Rd Ste 401
Phoenix, AZ 85013-4423
Mailing address
222 W Thomas Rd Ste 401
Phoenix, AZ 85013-4423
Phone (602) 406-3473
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
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464912000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636675200000",
"number": "1003265786",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "222 W THOMAS RD STE 401",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850134423",
"telephone_number": "602-406-3473",
"fax_number": "602-406-4406"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "222 W THOMAS RD STE 401",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850134423",
"telephone_number": "602-406-3473",
"fax_number": "602-406-4406"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EICHENBAUM",
"first_name": "EFRAT",
"credential": "LP, PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-03",
"last_updated": "2021-11-12",
"certification_date": "2021-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MN",
"license": "LP5910",
"primary": false
},
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "AZ",
"license": "PSY-005404",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 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.