Individual provider Active NPI

Ann Cathleen Eckardt, PSYD, ABPP

  • Psychologist
  • East Setauket, NY
National Provider Identifier
1609493113
Registry record updated Apr 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
019907 Issued in NY
Practice address
100 S Jersey Ave Unit 21
East Setauket, NY 11733-2036
Phone
(631) 364-2295
NPI assigned
Jun 30, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 019907 NY Primary

Addresses

Primary practice location

100 S Jersey Ave Unit 21
East Setauket, NY 11733-2036

Mailing address

100 S Jersey Ave Unit 21
East Setauket, NY 11733-2036
Phone (631) 364-2295

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)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1593475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777507200000",
    "number": "1609493113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 S JERSEY AVE UNIT 21",
            "city": "EAST SETAUKET",
            "state": "NY",
            "postal_code": "117332036",
            "telephone_number": "631-364-2295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S JERSEY AVE UNIT 21",
            "city": "EAST SETAUKET",
            "state": "NY",
            "postal_code": "117332036",
            "telephone_number": "631-364-2295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ECKARDT",
        "first_name": "ANN",
        "middle_name": "CATHLEEN",
        "name_prefix": "Dr.",
        "credential": "PSYD, ABPP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-30",
        "last_updated": "2026-04-30",
        "certification_date": "2026-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "019907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Setauket, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2026; 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.