Ec Neuropsychological Health PC

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

Legal business name

EC NEUROPSYCHOLOGICAL HEALTH PC

Practice address

3645 Haven Ave Apt 4201
Menlo Park, CA 94025-1085

Phone

(619) 874-2625

NPI assigned

Feb 23, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Wing Man Elizabeth Choi, PHDNPI 1134825268

Title

Founder

Phone

(619) 874-2625

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Wing Man Elizabeth Choi, PHD

  • Clinical Neuropsychologist
  • San Francisco, CA
  • NPI 1134825268
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1708646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723075200000",
    "number": "1669238044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3645 HAVEN AVE APT 4201",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940251085",
            "telephone_number": "619-874-2625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3645 HAVEN AVE APT 4201",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940251085",
            "telephone_number": "619-874-2625"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3645 Haven Ave Apt 4201",
            "address_purpose": "LOCATION",
            "city": "Menlo Park",
            "state": "CA",
            "postal_code": "940251085",
            "country_code": "US",
            "telephone_number": "650-260-5778",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EC NEUROPSYCHOLOGICAL HEALTH PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-23",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-08",
        "status": "A",
        "authorized_official_last_name": "CHOI",
        "authorized_official_first_name": "WING MAN ELIZABETH",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "619-874-2625",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sung Jae Back Durham, RPH
• Lara Dye, PH.D.
• Jessica Anna Eagle, RD
• Earth & Ether LLC
• Mara S Easley
• Emily Edelson, MS, RD
• Gary Griffin Eggers, D.D.S.
• Justine Ekdawy
• Marnie Laico Elizaga, MD
• Radwan Elqossari

• Clinical Neuropsychologist in Menlo Park, CA
• Providers in Menlo Park, CA by specialty
• Clinical Neuropsychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.