Marc a. Van Enk, PSYD, a Psychological Corporation

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY20449 Issued in CA

Legal business name

MARC A. VAN ENK, PSYD, A PSYCHOLOGICAL CORPORATION

Practice address

3703 Long Beach Blvd
Suite D1
Long Beach, CA 90807-3309

Phone

(562) 400-2233

NPI assigned

Oct 14, 2008

Last updated

Mar 4, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Marc A Van Enk, PSYDNPI 1033150594

Title

Owner

Phone

(562) 400-2233

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

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.

• Marc Alexander Van Enk, PSYD

  • Clinical Psychologist
  • Long Beach, CA
  • NPI 1033150594
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1223942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299196800000",
    "number": "1861644551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3703 LONG BEACH BLVD",
            "address_2": "SUITE D1",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908073309",
            "telephone_number": "562-400-2233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3703 LONG BEACH BLVD",
            "address_2": "SUITE D1",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908073309",
            "telephone_number": "562-400-2233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARC A. VAN ENK, PSYD, A PSYCHOLOGICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-14",
        "last_updated": "2011-03-04",
        "status": "A",
        "authorized_official_last_name": "VAN ENK",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "562-400-2233",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY20449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Mar
• Rey Maranan
• Victoria Marasigan
• Maithili Bapat Marathe, D.D.S.
• Felice Bernadine Rodriguez Marbella
• Patrice Ann Marcarelli, MD
• Marcel F Daniels MD Facs Fics Med Corp (Image Plastic Surgery)
• Margalitte Marcelin, FNP-C, ARNP
• Cyrille Gianna Marcelino
• Jenelyn Marcelino

• Clinical Psychologist in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2011; 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.