Active NPI
Janet Ellen Eschen, PH.D.
- Clinical Psychologist
- Northport, NY
National Provider Identifier
1023104643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 9969-1
- Practice address
- Northport Vamc Psychology Service (116B)
79 Middleville Road
Northport, NY 11768 - Phone
- (631) 261-4400
- Fax
- (631) 266-6086
- NPI assigned
- Oct 4, 2006
- Sex
- Female
- 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 Psychologist | 103TC0700X | 9969-1 | NY | Primary |
Addresses
Primary practice location
Northport Vamc Psychology Service (116B)
79 Middleville Road
Northport, NY 11768
Mailing address
Northport Vamc Psychology Service (116B)
79 Middleville Road
Northport, NY 11768
Phone (631) 261-4400
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)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9969-1 | NY | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1023104643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "NORTHPORT VAMC PSYCHOLOGY SERVICE (116B)",
"address_2": "79 MIDDLEVILLE ROAD",
"city": "NORTHPORT",
"state": "NY",
"postal_code": "11768",
"telephone_number": "631-261-4400",
"fax_number": "631-266-6086"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "NORTHPORT VAMC PSYCHOLOGY SERVICE (116B)",
"address_2": "79 MIDDLEVILLE ROAD",
"city": "NORTHPORT",
"state": "NY",
"postal_code": "11768",
"telephone_number": "631-261-4400",
"fax_number": "631-266-6086"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESCHEN",
"first_name": "JANET",
"middle_name": "ELLEN",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "9969-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Northport, NY
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.