Active NPI
Myrna Veda Echols, PH.D.
- Clinical Psychologist
- Carmichael, CA
National Provider Identifier
1780859041
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY 7341
- Practice address
- 2985 Linden LN
Apt J
Carmichael, CA 95608-4337 - Phone
- (916) 514-0166
- Fax
- (916) 514-0166
- NPI assigned
- Apr 28, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY 7341 | CA | Primary |
Addresses
Primary practice location
2985 Linden LN
Apt J
Carmichael, CA 95608-4337
Mailing address
2985 Linden LN
Apt J
Carmichael, CA 95608-4337
Phone (916) 514-0166
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PU0073410 | Other | MEDICAL |
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY 7341 | CA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1460505600000",
"number": "1780859041",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2985 LINDEN LN",
"address_2": "APT J",
"city": "CARMICHAEL",
"state": "CA",
"postal_code": "956084337",
"telephone_number": "916-514-0166",
"fax_number": "916-514-0166"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2985 LINDEN LN",
"address_2": "APT J",
"city": "CARMICHAEL",
"state": "CA",
"postal_code": "956084337",
"telephone_number": "916-514-0166",
"fax_number": "916-514-0166"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ECHOLS",
"first_name": "MYRNA",
"middle_name": "VEDA",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-04-28",
"last_updated": "2016-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY 7341",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL",
"identifier": "PU0073410",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Carmichael, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.