Rita Eichenstein

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

PSY14536 Issued in CA

Practice address

10323 Santa Monica Blvd Ste 111
Los Angeles, CA 90025-5056

Phone

(310) 202-6301

NPI assigned

Nov 10, 2021

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1636502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636502400000",
    "number": "1558027862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10794 WILKINS AVE APT 303",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900245071",
            "telephone_number": "310-202-6301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10323 SANTA MONICA BLVD STE 111",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900255056",
            "telephone_number": "310-202-6301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EICHENSTEIN",
        "first_name": "RITA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-10",
        "last_updated": "2021-11-10",
        "certification_date": "2021-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "CA",
            "license": "PSY14536",
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "CA",
            "license": "PSY14536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Azin Isabelle Ehsan-Sayson, MSW, LCSW
• Amirhesam Ehsan, M.D
• Emily Ehsan, MD
• Reza Ray Ehsan, M.D.
• Danielle Michelle Ehsanipour
• Brandi Lynn Eichstedt, PHD, LMFT
• Ashley Lauren Ellis Eid
• William S Eidelman, M.D.
• Holly Eiholzer, M.S., CF-SLP
• Eijean Wu, MD, MPP, a Professional Corporation

• Clinical Neuropsychologist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Clinical Neuropsychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2021; 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.