Ellen R Van Eck, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

21511 Issued in CA

Practice address

5015 Birch Street
Newport Beach, CA 92660-2162

Phone

(949) 887-4166

NPI assigned

Aug 6, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Specialty

Clinical Psychologist

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Healing Through Psychotherapy, Inc

  • Clinical Psychologist
  • Newport Beach, CA
  • NPI 1598305146
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1186358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567641600000",
    "number": "1528259553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5015 BIRCH STREET",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602162",
            "telephone_number": "949-887-4166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5015 BIRCH STREET",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602162",
            "telephone_number": "949-887-4166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN ECK",
        "first_name": "ELLEN",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-06",
        "last_updated": "2019-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "CA",
            "license": "21511",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "21511",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "21511",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Adela Valenzuela
• Valeri Trezise, Licensed Marriage & Family Therapist, Inc. (Be Still Psychotherapy)
• Anthony Lenerd Vallejo
• Lillie Valliere, PA-C
• Vivek Ram Vallurupalli, MD
• Denise Kay Van Horn, M. D.
• Alicia Ann Van Ihinger, APRN-BC
• Andrew Van Leuven, DPT
• Kecia Van Mechelen
• Lisa Van, OD

• Clinical Psychologist in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.