Lori Lenay Eickleberry, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY7732 Issued in FL

Practice address

1421 SE 4TH Ave FL 2
Fort Lauderdale, FL 33316-1900

Phone

(954) 616-5088

NPI assigned

Jun 11, 2008

Last updated

Nov 6, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Motivational Institute for Behavioral Health, LLCGroup PAC ID 4486782067, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Locations

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.

• Motivational Institute for Behavioral Health, LLC

  • Clinical Psychologist
  • Fort Lauderdale, FL
  • NPI 1265765242
  Medicare reassignment Care Compare group NPD Authorized official
• Institute for Life Renovation, LLC

  • Cognitive & Behavioral Psychologist
  • Fort Lauderdale, FL
  • NPI 1386172351
  NPD Authorized official

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

{
    "created_epoch": "1213142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699228800000",
    "number": "1669632931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1421 SE 4TH AVE FL 1",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333161900",
            "telephone_number": "954-616-5088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1421 SE 4TH AVE FL 2",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333161900",
            "telephone_number": "954-616-5088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EICKLEBERRY",
        "first_name": "LORI",
        "middle_name": "LENAY",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-11",
        "last_updated": "2023-11-06",
        "certification_date": "2023-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY7732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brooke Effinger
• Parham Eftekhari, D.O.
• Kimberly Ehly, M.S.W.
• Leah Ehrlich
• Theresa Anne Eichinger, PA-C
• Rachael Eickmeyer, MD
• Cynthia Eidelman, LMFT
• Jessica Eiriz
• Marsha S Eisenberg, DMD
• Arielle Eisenman, DO

• Clinical Psychologist in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2023; 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.