Active NPI
Ariel Eckfeld, PH.D.
- Clinical Neuropsychologist
- Corona del Mar, CA
National Provider Identifier
1033545801
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- 30913
- Practice address
- 1550 Bayside Dr Ste 2
Corona del Mar, CA 92625-1711 - Phone
- (949) 783-9590
- NPI assigned
- Sep 24, 2013
- 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 Neuropsychologist | 103G00000X | 30913 | CA | Primary |
Addresses
Primary practice location
1550 Bayside Dr Ste 2
Corona del Mar, CA 92625-1711
Mailing address
578 S Eveningsong LN
Anaheim, CA 92808-1616
Phone (973) 951-6940
Other practice location 1
1339 20th St
Santa Monica, CA 90404-2033
Phone (310) 829-8921
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 3, 2024 through Jan 3, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30913 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Medical Foundation | Past | Accepting new patients | |
| Matthew N. Koury, MD, MPH a Professional Corporation | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Child & Adolescent Psychiatry Physician
- Newport Beach, CA
- NPI 1154864205
-
- Family Medicine Physician
- Anaheim, CA
- NPI 1609925957
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1379980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566864000000",
"number": "1033545801",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "578 S EVENINGSONG LN",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928081616",
"telephone_number": "973-951-6940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1550 BAYSIDE DR STE 2",
"city": "CORONA DEL MAR",
"state": "CA",
"postal_code": "926251711",
"telephone_number": "949-783-9590"
}
],
"practiceLocations": [
{
"address_1": "1339 20th St",
"address_purpose": "LOCATION",
"city": "Santa Monica",
"state": "CA",
"postal_code": "904042033",
"country_code": "US",
"telephone_number": "310-829-8921",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ECKFELD",
"first_name": "ARIEL",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-09-24",
"last_updated": "2019-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Clinical Neuropsychologist",
"state": "CA",
"license": "30913",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Corona del Mar, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2019; 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.