Healing Through Psychotherapy, Inc | |
5015 Birch St Newport Beach CA 92660-2162 | |
(949) 887-4166 | |
Not Available |
Full Name | Healing Through Psychotherapy, Inc |
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Speciality | Psychologist |
Location | 5015 Birch St, Newport Beach, California |
Authorized Official Name and Position | Ellen R Van Eck (CEO) |
Authorized Official Contact | 9498874166 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Healing Through Psychotherapy, Inc 5015 Birch St Newport Beach CA 92660-2162 Ph: (949) 887-4166 | Healing Through Psychotherapy, Inc 5015 Birch St Newport Beach CA 92660-2162 Ph: (949) 887-4166 |
NPI Number | 1598305146 |
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Provider Enumeration Date | 01/12/2020 |
Last Update Date | 08/10/2021 |
Certification Date | 08/10/2021 |
Medicare PECOS PAC ID | 5092123679 |
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Medicare Enrollment ID | O20210420001904 |
Identifier | Type | State | Issuer |
---|---|---|---|
1598305146 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
Provider Name | Ellen R Van Eck |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1528259553 PECOS PAC ID: 0042307472 Enrollment ID: I20071101000602 |
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