Individual provider Active NPI

Steve Kenneth Dubrow Eichel, PH.D.

  • Counseling Psychologist
  • Newark, DE
National Provider Identifier
1619041035
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
B1-595 Issued in DE
Practice address
409 Nottingham Rd
Newark, DE 19711-7404
Phone
(302) 368-9136
Fax
(866) 538-9048
NPI assigned
Nov 17, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X B1-595 DE Primary
Counseling Psychologist 103TC1900X PS003893-L PA

Addresses

Primary practice location

409 Nottingham Rd
Newark, DE 19711-7404

Mailing address

409 Nottingham Rd
Newark, DE 19711-7404
Phone (302) 368-9136

Other identifiers 1

IdentifierTypeStateIssuer
199781OtherPAPA BLUE SHIELD PROVIDER #

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
B1-595DEMDCounseling Psychologist
PS003893-LPAMDCounseling Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619041035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 NOTTINGHAM RD",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197117404",
            "telephone_number": "302-368-9136",
            "fax_number": "866-538-9048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 NOTTINGHAM RD",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197117404",
            "telephone_number": "302-368-9136",
            "fax_number": "866-538-9048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EICHEL",
        "first_name": "STEVE",
        "middle_name": "KENNETH DUBROW",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "DE",
            "license": "B1-595",
            "primary": true
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "PA",
            "license": "PS003893-L",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA BLUE SHIELD PROVIDER #",
            "identifier": "199781",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.