Carrie Eichberg, PSY.D.
Individual provider Active NPI Clinical Psychologist · Boise, ID
NPI 1942382015 · NPPES record last updated Mar 3, 2011
Key facts
- NPI
- 1942382015
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- PSY202141 (ID)
- Practice address
- 1414 W Franklin St
Boise, ID 83702-5023 - Phone
- (208) 343-0570
- Fax
- (208) 429-6682
- NPI assigned
- Oct 19, 2006
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
- Opted out of Medicare
- Yes, effective Jan 1, 2019 through Jan 1, 2027
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY17890 | CA | MD | Clinical Psychologist |
| PSY202141 | ID | MD | Clinical Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY202141 | ID | Yes |
| Clinical Psychologist | 103TC0700X | PSY17890 | CA |
Addresses
Primary practice location
1414 W Franklin St
Boise, ID 83702-5023
Mailing address
1414 W Franklin St
Boise, ID 83702-5023
Phone (208) 343-0570
Other names
- Dr. Carrie Horwitz
Other providers in Boise, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 3, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.