Marcel A Van Eerd, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY60611766 Issued in WA

Practice address

1313 E Maple St
Suite 652
Bellingham, WA 98225-5708

Phone

(480) 277-5919

Fax

(360) 685-4222

NPI assigned

Dec 16, 2005

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

Not listed in the public Medicare enrollment file

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 and National Provider Directory roles.

• Authentic Transformations LLC

  • Psychologist
  • Bellingham, WA
  • NPI 1053855734
  NPD (past) Authorized official

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

{
    "created_epoch": "1134691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471824000000",
    "number": "1114903705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3617 WESTHILLS PL",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982264174",
            "telephone_number": "480-277-5919",
            "fax_number": "360-685-4222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1313 E MAPLE ST",
            "address_2": "SUITE 652",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982255708",
            "telephone_number": "480-277-5919",
            "fax_number": "360-685-4222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN EERD",
        "first_name": "MARCEL",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-16",
        "last_updated": "2016-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "PY60611766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kendra Van Den Top
• John William Van Der Horst
• Douglas William Van Druff II, LMHCA
• Jessica Van Dusen, N.D.
• Courtney Louise Van Dyk, RN
• Christopher J. Van Hofwegen, M.D.
• Lisa M Van Hofwegen, M.D.
• Erica Van Mieghem, MS, RD, CD, CN
• Maria Rose Van Rooyen, RN
• Anna Van Ry, RN

• Clinical Psychologist in Bellingham, WA
• Providers in Bellingham, WA by specialty
• Clinical Psychologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2016; 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.