Ellen M Eisman, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

913 Issued in OR

Practice address

1012 SW Emkay Dr
Bend, OR 97702-1010

Phone

(541) 385-3155

Fax

(541) 388-5110

NPI assigned

Aug 21, 2009

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

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 and National Provider Directory roles.

• Gertler & Gertler P.C.

  • Clinical Psychologist
  • Bend, OR
  • NPI 1831498922
  NPD (past)
• HD Enterprises

  • Physical Therapist
  • Bend, OR
  • NPI 1215605860
  NPD (past)

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

{
    "created_epoch": "1250812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250812800000",
    "number": "1942432018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 NW YOSEMITE DRIVE",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977016628",
            "telephone_number": "541-385-3155",
            "fax_number": "541-388-5110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1012 SW EMKAY DR",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977021010",
            "telephone_number": "541-385-3155",
            "fax_number": "541-388-5110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EISMAN",
        "first_name": "ELLEN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-21",
        "last_updated": "2009-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OR",
            "license": "913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abby Ehntholt, N.P.
• Bradley Ehrenfelt
• Samantha Ehrenfelt, RPH
• Helmut E Eichner, D.C
• Danielle Anne Eigner, D.O
• Ekho Audiology LLC
• Ekko HQ, Inc.
• Samuel M Elcik, DMD
• Laura Nicole Elder, CADC I, CRM
• Elemental Eyecare, PC

• Psychologist in Bend, OR
• Providers in Bend, OR by specialty
• Psychologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2009; 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.