Active NPI
Andrea Nicole Eschrich, PSY.D.
- Clinical Psychologist
- Dunedin, FL
National Provider Identifier
1245792001
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 023174
- Practice address
- 1022 Main St Ste B
Dunedin, FL 34698-5237 - Phone
- (718) 942-6595
- NPI assigned
- Apr 2, 2019
- Sex
- Female
- Sole proprietor
- No
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 | 023174 | NY | Primary |
Addresses
Primary practice location
1022 Main St Ste B
Dunedin, FL 34698-5237
Mailing address
1022 Main St Ste B
Dunedin, FL 34698-5237
Phone (631) 834-9010
Other practice location 1
3512 Quentin Rd
Brooklyn, NY 11234-4244
Phone (718) 854-8370
Other practice location 2
10115 Vista Pointe Dr
Tampa, FL 33635-6329
Phone (718) 942-6595
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 023174 | NY | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674172800000",
"number": "1245792001",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1022 MAIN ST STE B",
"city": "DUNEDIN",
"state": "FL",
"postal_code": "346985237",
"telephone_number": "631-834-9010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1022 MAIN ST STE B",
"city": "DUNEDIN",
"state": "FL",
"postal_code": "346985237",
"telephone_number": "718-942-6595"
}
],
"practiceLocations": [
{
"address_1": "3512 Quentin Rd",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112344244",
"country_code": "US",
"telephone_number": "718-854-8370",
"fax_number": "718-854-8369",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10115 Vista Pointe Dr",
"address_purpose": "LOCATION",
"city": "Tampa",
"state": "FL",
"postal_code": "336356329",
"country_code": "US",
"telephone_number": "718-942-6595",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ESCHRICH",
"first_name": "ANDREA",
"middle_name": "NICOLE",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-02",
"last_updated": "2023-01-20",
"certification_date": "2023-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "023174",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dunedin, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.