Active NPI
Steven James Eckert, PH.D.
- Clinical Psychologist
- Terre Haute, IN
National Provider Identifier
1447722483
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 20043020A
- Practice address
- 4700 Bureau Rd N
Terre Haute, IN 47802-8246 - Phone
- (812) 244-4681
- NPI assigned
- Dec 31, 2018
- Sex
- Male
- 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 | 20043020A | IN | Primary |
Addresses
Primary practice location
4700 Bureau Rd N
Terre Haute, IN 47802-8246
Mailing address
5673 Hazelgreen CT
Terre Haute, IN 47802-9209
Phone (812) 249-2774
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20043020A | IN | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1546214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1546214400000",
"number": "1447722483",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5673 HAZELGREEN CT",
"city": "TERRE HAUTE",
"state": "IN",
"postal_code": "478029209",
"telephone_number": "812-249-2774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4700 BUREAU RD N",
"city": "TERRE HAUTE",
"state": "IN",
"postal_code": "478028246",
"telephone_number": "812-244-4681"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ECKERT",
"first_name": "STEVEN",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-12-31",
"last_updated": "2018-12-31",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IN",
"license": "20043020A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Terre Haute, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.