Enas Elshiwick, PSY.D.,MFT

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY20241 Issued in CA

Practice address

2721 E Coast Hwy
Corona del Mar, CA 92625-2131

Phone

(949) 456-0146

NPI assigned

Feb 14, 2006

Last updated

Jan 3, 2013By the provider in NPPES

Sex

Female

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Grand Terrace Psychological Services, Inc.

  dba California Behavioral Care

  • Psychologist
  • Redlands, CA
  • NPI 1275669475
  NPD (past)
• Vericare of California Medical Group

  • Clinical Psychologist
  • Paradise, CA
  • NPI 1316992829
  NPD (past)

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

{
    "created_epoch": "1139875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357171200000",
    "number": "1902870215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6403",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926076403",
            "telephone_number": "949-456-0146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2721 E COAST HWY",
            "city": "CORONA DEL MAR",
            "state": "CA",
            "postal_code": "926252131",
            "telephone_number": "949-456-0146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELSHIWICK",
        "first_name": "ENAS",
        "credential": "PSY.D.,MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-14",
        "last_updated": "2013-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY20241",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "PSY20241",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eastbluff Physical Rehabilitation, Inc.
• Ariel Eckfeld, PH.D.
• Madeline Ehrlich
• Ali Elahi, MD
• Mia Elbayar
• Abby Endres, DC
• Ginger Fee
• Gary Ellis Feldman, M.D.
• Michael Brandon Fernandez, PT, DPT
• William S. Flanagan III, L.AC.

• Psychologist in Corona del Mar, CA
• Providers in Corona del Mar, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.