Active NPI
Eileen M Kramer, PSY.D.
- Clinical Psychologist
- Dana Point, CA
National Provider Identifier
1184793119
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY25548
- Practice address
- 24681 La PLZ Ste 370
Dana Point, CA 92629-2568 - Phone
- (949) 899-5790
- Fax
- (224) 365-3488
- NPI assigned
- Nov 6, 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 | PSY25548 | CA | Primary |
Addresses
Primary practice location
24681 La PLZ Ste 370
Dana Point, CA 92629-2568
Mailing address
24681 La Plaza
Suite 370
Laguna Niguel, CA 92629-2568
Phone (949) 813-8180
Other practice location 1
34248 Via Santa Rosa
Capistrano Beach, CA 92624-1121
Phone (949) 489-8121
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- 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)
1670 Santa Ana Ave
Suite F
Costa Mesa, CA 92627-3840
Phone (949) 813-8180
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY25548 | CA | MD | Clinical Psychologist |
| 25548 | CA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pacific Hills Treatment Centers, Inc. | 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.
-
- Substance Abuse Rehabilitation Facility
- Capistrano Beach, CA
- NPI 1043442346
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1184793119",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24681 LA PLAZA",
"address_2": "SUITE 370",
"city": "LAGUNA NIGUEL",
"state": "CA",
"postal_code": "926292568",
"telephone_number": "949-813-8180",
"fax_number": "224-365-3488"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24681 LA PLZ STE 370",
"city": "DANA POINT",
"state": "CA",
"postal_code": "926292568",
"telephone_number": "949-899-5790",
"fax_number": "224-365-3488"
}
],
"practiceLocations": [
{
"address_1": "34248 Via Santa Rosa",
"address_purpose": "LOCATION",
"city": "Capistrano Beach",
"state": "CA",
"postal_code": "926241121",
"country_code": "US",
"telephone_number": "949-489-8121",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KRAMER",
"first_name": "EILEEN",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-06",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY25548",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dana Point, CA
- Larissa Emily Kibort, CADC
- Daniel Christopher Kimbley, DC
- Jeffrey R. Kindseth, DDS
- Kofford Medical Corp. (Dana Point Urgent Care)
- Jeannine Carmen Kofford, M.D.
- Cathryn Ann Kruger, APCC
- Kyle Jordan Physical Therapy Consulting PC
- Lynn Marie Kyne, OTR/L
- L Snyder Inc
- L Snyder Incorporated (Pacific MAT Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.