Marc Alexander Van Enk, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY20449 Issued in CA

Practice address

3703 Long Beach Blvd
Suite D1
Long Beach, CA 90807-3309

Phone

(562) 400-2233

Fax

(562) 595-8189

NPI assigned

Jun 8, 2006

Last updated

Mar 4, 2011By the provider in NPPES

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Marc a. Van Enk, PSYD, a Psychological Corporation

  • Clinical Psychologist
  • Long Beach, CA
  • NPI 1861644551
  Medicare reassignment Authorized official
• Tammy a Ouellette Psy.D. Apc

  • Psychologist
  • Fullerton, CA
  • NPI 1528246394
  NPD (past)

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299196800000",
    "number": "1033150594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3703 LONG BEACH BLVD",
            "address_2": "SUITE D1",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908073309",
            "telephone_number": "562-400-2233",
            "fax_number": "562-595-8189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3703 LONG BEACH BLVD",
            "address_2": "SUITE D1",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908073309",
            "telephone_number": "562-400-2233",
            "fax_number": "562-595-8189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN ENK",
        "first_name": "MARC",
        "middle_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2011-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY20449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Liliana Valverde, PT
• Vamc-Long Beach
• Preston Hunter Van Der Mark-Larrea
• Janice Van Dyke, PT
• Tara James Van Eede, LVN
• Henry Van Gieson, MD
• Yaritza Van Noy
• Van Thuan Phat
• Sunni M Van Waardenburg, M.S.
• Eugene Thang Van, D.O.

• Clinical Psychologist in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.