Individual provider Active NPI

Helena Eckerberg, PH.D

  • Psychologist
  • Oceanside, CA
National Provider Identifier
1417185406
Registry record updated Mar 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY16856 Issued in CA
Practice address
334 Holiday Way
Oceanside, CA 92057-4260
Phone
(760) 846-0361
NPI assigned
Jun 29, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY16856 CA Primary

Addresses

Primary practice location

334 Holiday Way
Oceanside, CA 92057-4260

Mailing address

3784 Mission Ave Ste 148
Oceanside, CA 92058-1460
Phone (650) 814-1454

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200817002203 CA Practitioner - Clinical Psychologist 9436575875 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rita Romero, Psychologist a PCGroup PAC ID 7911238621, 5 clinicians

Practice addresses (Care Compare)

Oceanside, CA 92057
Phone (760) 846-0361

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY16856CAMDPsychologist

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1246233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742515200000",
    "number": "1417185406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3784 MISSION AVE STE 148",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920581460",
            "telephone_number": "650-814-1454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "334 HOLIDAY WAY",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920574260",
            "telephone_number": "760-846-0361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ECKERBERG",
        "first_name": "HELENA",
        "credential": "PH.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-29",
        "last_updated": "2025-03-21",
        "certification_date": "2025-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY16856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oceanside, CA

Sources for this page

Verify at the official NPI Registry.