DR. JOHN DAVID ECKELMAN (NPI# 1174534093) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174534093 |
| Entity Type | Individual |
| Full Name | DR. JOHN DAVID ECKELMAN |
| Credential | PHD |
| Practice Address |
62 Derby St Ste 13 Hingham MA 02043 |
| Mailing Address |
15 Cedarcliff Rd Braintree MA 02184-3613 |
| Practice Telephone | 7817494600 |
| Practice Fax Number | 7817418341 |
| Mailing Telephone | 7818204600 |
| Mailing Fax Number | 7817418341 |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
3048 | MA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 0516937 | 05 | |
| MA | AETNA | 4200242 | 01 |
| MA | VALUE OPTIONS | 005705 | 01 |
| MA | BLUE CROSS BLUE SHIELD | ECW03181 | 01 |
| MA | TUFTS HEALTH PLAN | 720120 | 01 |
| MA | HARVARD PILGRIM HEALTH CA | 32502MS | 01 |
| MA | PACIFICARE | 04343088005 | 01 |
| Street Address |
62 DERBY ST STE 13 |
| City | HINGHAM |
| State | MA |
| Zip Code | 02043 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962958777 | Mary Hannah Browder Cully | Social Worker | 62 Derby St, Suite 11, Hingham, MA 02043-3728 | 2016-08-31 |
| 1306202346 | Annmarie Spring | Nurse Practitioner | 62 Derby St, Hingham, MA 02043-3728 | 2016-01-06 |
| 1033495072 | Jenny Hershberger | Counselor | 62 Derby St, Suite 14, Hingham, MA 02043-3728 | 2011-10-21 |
| 1043510423 | Marilyne Jones-jenkins | Nurse Practitioner | 62 Derby St, Suite 11, Hingham, MA 02043-3728 | 2010-11-01 |
| 1659696102 | The Rested Mind, LLC | Clinic/Center | 62 Derby St, Suite 11, Hingham, MA 02043-3728 | 2010-03-27 |
| 1922332154 | Emily Sara Miller | Counselor | 62 Derby St, Suite 6, Hingham, MA 02043-3728 | 2009-09-21 |
| 1972735348 | Marcia R. Smith | Social Worker | 62 Derby St, Suite 13, Hingham, MA 02043-3728 | 2009-08-18 |
| 1043359516 | John Manganaro | Counselor | 62 Derby St, Suite 15, Hingham, MA 02043-3728 | 2007-02-05 |
| 1205974839 | Anne E Spang | Registered Nurse | 62 Derby St, Suite 15, Hingham, MA 02043-3728 | 2007-02-04 |
| 1407907850 | Ann M. Mccarthy-egan | Social Worker | 62 Derby St, Suite 15, Hingham, MA 02043-3728 | 2007-01-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841750171 | Sandra Matthews | Speech-Language Pathologist | Outpatient Rehab - Hobart Grove, 207 Linden Ponds Way, Hingham, MA 02043 | 2019-03-22 |
| 1154805695 | Anne Marie Thompson | Social Worker | 160 Derby Street, #338, Hingham, MA 02043 | 2018-09-20 |
| 1023598794 | Invisible Orthodontics PC | Dentist | One Derby St Suite 2, Hingham, MA 02043 | 2018-08-21 |
| 1528506565 | Regis College | Nursing Care | 97 Hersey Street, Hingham, MA 02043 | 2017-02-10 |
| 1689934523 | Joanna Y. Chang | Physical Therapist | 188 Hms Halsted Dr, Hingham, MA 02043 | 2012-05-25 |
| 1427361336 | Jim Bailey | Counselor | 160 Old Derby St Ste 266, Hingham, MA 02043 | 2010-07-20 |
| 1194968222 | Eileen Mazzulli | Physical Therapist | Linden Ponds Outpatient Rehabilitation Clinic, 205 Linden Ponds Way, Hingham, MA 02043 | 2009-04-20 |
| 1659540664 | Maria Clarinda A Buencamino-francisco | Internal Medicine | 6 Shipyard Dr, Hingham, MA 02043 | 2008-02-23 |
| 1437340999 | Town of Hingham | Clinic/Center | 210 Central Street, Hingham, MA 02043 | 2007-08-08 |
| 1720285018 | South Shore Orthopedics LLC | Specialist | 2 Pond Park, Suite 102, Hingham, MA 02043 | 2007-06-29 |
| Find all providers in zip 02043 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578619201 | Brenda Pollara Black | Psychologist | 12 Whitcomb Ave, Hingham, MA 02043-3385 | 2007-01-26 |
| 1699823716 | Rosemary M Calverley | Psychologist | 160 Old Derby Street, The Lincoln Building Suite 451, Hingham, MA 02043 | 2007-01-08 |
| 1689750036 | Laura La Nasa | Psychologist | 11 Highfield Rd, Hingham, MA 02043-3501 | 2006-10-28 |
| 1053494286 | Kathryn Dardeck | Psychologist | 175 Derby St Ste 20, Hingham, MA 02043-4051 | 2006-10-23 |
| 1184640039 | Andrea Barnes | Psychologist | 37 Derby St, Suite 1, Hingham, MA 02043-3741 | 2006-07-14 |
| 1134556962 | Hingham Wellness LLC | Psychologist | 175 Derby St, Suite 21-22, Hingham, MA 02043-4007 | 2013-10-13 |
| 1720398316 | Anja Marina Ullrich | Psychologist | 62 Derby St Ste 6, Hingham, MA 02043-3718 | 2010-10-15 |
| 1891847232 | William L. Engels | Psychologist | 175 Derby St, Suite 10, Hingham, MA 02043-4007 | 2007-01-17 |
| 1467501213 | John Paul Holleran | Psychologist | 62 Derby St, Suite 15, Hingham, MA 02043-3728 | 2007-01-10 |
| 1760540744 | Cathie A Leonard | Psychologist | 185 Lincoln St, Suite 210, Hingham, MA 02043-1760 | 2006-12-04 |
| Find all providers in HINGHAM | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.