Christopher Scott Eckholdt, PH.D., M.P.

Primary specialty

Prescribing (Medical) PsychologistTaxonomy code 103TP0016X

License

MP0837 Issued in LA

Practice address

93 Magnate Dr.
Lafayette, LA 70508-3840

Phone

(337) 889-5830

Fax

(337) 889-5834

NPI assigned

Aug 5, 2006

Last updated

Apr 1, 2016By the provider in NPPES

Sex

Male

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 LA

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, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: acadianamedpsych.cseckholdt@148820.advancedmd-direct.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• C. Scott Eckholdt, PH.D., LTD., a Professional Psychology Corporation

  • Prescribing (Medical) Psychologist
  • Lafayette, LA
  • NPI 1295914059
  NPD Authorized official
• Acadiana Medical Psychological Services, LLC

  • Psychologist
  • Lafayette, LA
  • NPI 1598126351
  NPD (past) Authorized official
• Amy E Cavanaugh PHD LLC

  • Clinical Psychologist
  • Lafayette, LA
  • NPI 1992025720
  NPD (past)

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459468800000",
    "number": "1649289919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "93 MAGNATE DR.",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705083840",
            "telephone_number": "337-889-5830",
            "fax_number": "337-889-5834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "93 MAGNATE DR.",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705083840",
            "telephone_number": "337-889-5830",
            "fax_number": "337-889-5834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ECKHOLDT",
        "first_name": "CHRISTOPHER",
        "middle_name": "SCOTT",
        "credential": "PH.D., M.P.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2016-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "LA",
            "license": "837",
            "primary": false
        },
        {
            "code": "103TP0016X",
            "taxonomy_group": "",
            "desc": "Psychologist, Prescribing (Medical)",
            "state": "LA",
            "license": "MP0837",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007846",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Prescribing (Medical) Psychologist in Lafayette, LA
• Providers in Lafayette, LA by specialty
• Prescribing (Medical) Psychologist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2016; 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.