Ekerette J Essien, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY17740 Issued in CA

Legal business name

EKERETTE J ESSIEN, PHD

Practice address

5206 Benito St
Ste 106
Montclair, CA 91763-2852

Phone

(951) 660-3050

Fax

(888) 235-1709

NPI assigned

Aug 16, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ekerette Joseph Essien, PHDNPI 1396706438

Title

Owner

Phone

(951) 660-3050

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• California Stress Control Mgmt Ctr Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ekerette J Essien, PH.D.

  • Clinical Psychologist
  • Riverside, CA
  • NPI 1396706438
  NPD (past) Authorized official

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

{
    "created_epoch": "1376611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376611200000",
    "number": "1275966988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16795 CATALONIA DR",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925048705",
            "telephone_number": "951-660-3050",
            "fax_number": "888-235-1709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5206 BENITO ST",
            "address_2": "STE 106",
            "city": "MONTCLAIR",
            "state": "CA",
            "postal_code": "917632852",
            "telephone_number": "951-660-3050",
            "fax_number": "888-235-1709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EKERETTE J ESSIEN, PHD",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-16",
        "last_updated": "2013-08-16",
        "status": "A",
        "authorized_official_last_name": "ESSIEN",
        "authorized_official_first_name": "EKERETTE",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "951-660-3050",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY17740",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PSY177400",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "California Stress Control Mgmt Ctr",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinical Psychologist in Montclair, CA
• Providers in Montclair, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2013; 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.