Active NPI
Emmanuel E. Enekwechi, PSY.D.
- Psychologist
- Iowa City, IA
National Provider Identifier
1932321817
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 767
- Practice address
- 720 S Dubuque St
Suite 2
Iowa City, IA 52240-4249 - Phone
- (319) 354-8057
- Fax
- (319) 354-3623
- NPI assigned
- May 2, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 767 | IA | Primary |
Addresses
Primary practice location
720 S Dubuque St
Suite 2
Iowa City, IA 52240-4249
Mailing address
720 S Dubuque St
Suite 2
Iowa City, IA 52240-4249
Phone (319) 354-8057
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 767 | IA | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marchman Psychology Associates | Psychologist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Psychologist
- Iowa City, IA
- NPI 1689895476
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1932321817",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "720 S DUBUQUE ST",
"address_2": "SUITE 2",
"city": "IOWA CITY",
"state": "IA",
"postal_code": "522404249",
"telephone_number": "319-354-8057",
"fax_number": "319-354-3623"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "720 S DUBUQUE ST",
"address_2": "SUITE 2",
"city": "IOWA CITY",
"state": "IA",
"postal_code": "522404249",
"telephone_number": "319-354-8057",
"fax_number": "319-354-3623"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENEKWECHI",
"first_name": "EMMANUEL",
"middle_name": "E.",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "IA",
"license": "767",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Iowa City, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.