C. Scott Eckholdt, PH.D., LTD., a Professional Psychology Corporation

Primary specialty

Prescribing (Medical) PsychologistTaxonomy code 103TP0016X

License

837MP Issued in LA

Legal business name

C. SCOTT ECKHOLDT, PH.D., LTD., A PROFESSIONAL PSYCHOLOGY CORPORATION

Practice address

800 Kaliste Saloom Rd
Lafayette, LA 70508-4210

Phone

(337) 233-2400

Fax

(337) 232-3656

NPI assigned

Oct 29, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Christopher Scott Eckholdt, PH.D., MP.NPI 1649289919

Title

Owner/President

Phone

(337) 546-6280

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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

• Christopher Scott Eckholdt, PH.D., M.P.

  • Prescribing (Medical) Psychologist
  • Lafayette, LA
  • NPI 1649289919

  Prescribing (Medical)

  NPD Authorized official
• Elizabeth Baumer

  • Professional Counselor
  • Lafayette, LA
  • NPI 1376901272
  NPD (past)
• Amy E Cavanaugh, PHD LLC

  • Clinical Psychologist
  • Lafayette, LA
  • NPI 1962554790
  NPD (past)

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

{
    "created_epoch": "1193616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252972800000",
    "number": "1295914059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 KALISTE SALOOM RD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705084210",
            "telephone_number": "337-233-2400",
            "fax_number": "337-232-3656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 KALISTE SALOOM RD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705084210",
            "telephone_number": "337-233-2400",
            "fax_number": "337-232-3656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C. SCOTT ECKHOLDT, PH.D., LTD., A PROFESSIONAL PSYCHOLOGY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-29",
        "last_updated": "2009-09-15",
        "status": "A",
        "authorized_official_last_name": "ECKHOLDT",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "337-546-6280",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D., MP."
    },
    "taxonomies": [
        {
            "code": "103TP0016X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Prescribing (Medical)",
            "state": "LA",
            "license": "837MP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Lafayette, LA
• Prescribing (Medical) Psychologist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2009; 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.