Donald James McEachran, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6301005347 Issued in MI

Practice address

1545 Kingsway CT
201
Trenton, MI 48183-1931

Phone

(734) 671-5640

Fax

(734) 692-9284

NPI assigned

Jan 25, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MI

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, 1982

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

Practice roles

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

• Ellen G. Fredericks PHD., L.P., P.C.

  • Psychologist
  • Trenton, MI
  • NPI 1932270048
  NPD (past)

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

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321228800000",
    "number": "1669442372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8500 THORNTREE DR",
            "city": "GROSSE ILE",
            "state": "MI",
            "postal_code": "481381586",
            "telephone_number": "734-671-5780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1545 KINGSWAY CT",
            "address_2": "201",
            "city": "TRENTON",
            "state": "MI",
            "postal_code": "481831931",
            "telephone_number": "734-671-5640",
            "fax_number": "734-692-9284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCEACHRAN",
        "first_name": "DONALD",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-25",
        "last_updated": "2011-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301005347",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "063569",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "68OH246340",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathleen Matkovic, MA, LLPC, ATR-P
• Mona Mawari
• Mallory H Mazur
• Melissa Mazurek, PHYSICIAN ASSISTANT
• Elena Mazurkiewicz, RD
• Grace Allan McFarland, DO
• Carie Joyce McGauley, PH.D., LP
• Stephen McKinney, DO
• Lewis J McLaughlin, CRNA
• Renee McLean, NP

• Clinical Psychologist in Trenton, MI
• Providers in Trenton, MI by specialty
• Clinical Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2011; 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.