DR. CHRISTOFER ECKLUND (NPI# 1215176391) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215176391 |
| Entity Type | Individual |
| Full Name | DR. CHRISTOFER ECKLUND |
| Credential | PSY.D. |
| Practice Address |
620 John Paul Jones Cir Department of Mental Health Portsmouth VA 23708-2197 |
| Mailing Address |
620 John Paul Jones Cir Department of Psychology Portsmouth VA 23708-2197 |
| Practice Telephone | 7579537641 |
| Enumeration Date | 2009-02-12 |
| Last Update Date | 2016-09-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | 0810005416 | VA | Behavioral Health & Social Service Providers |
| N | 103G00000X | Clinical Neuropsychologist | PY60140493 | WA | Behavioral Health & Social Service Providers |
| N | 103TC0700X |
Psychologist Specialization: Clinical |
0810005416 | VA | Behavioral Health & Social Service Providers |
| N | 103TC0700X |
Psychologist Specialization: Clinical |
PY60140493 | WA | Behavioral Health & Social Service Providers |
| Street Address |
620 JOHN PAUL JONES CIR DEPARTMENT OF MENTAL HEALTH |
| City | PORTSMOUTH |
| State | VA |
| Zip Code | 23708-2197 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427054840 | Debra Tooke Crowell | Registered Nurse | 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 | 2005-06-21 |
| 1659970424 | Jennifer T Birchwale | Student in an Organized Health Care Education/Training Program | 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 | 2020-10-22 |
| 1861091985 | Carin Kimberly Teeters | Psychologist | 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 | 2020-10-20 |
| 1275130825 | Dartangion Pierre Walker | Dental Hygienist | 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 | 2020-10-07 |
| 1750996054 | Kevin Wilfong | Psychologist | 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 | 2020-09-14 |
| 1598379901 | Paula Shepard | Psychologist | 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 | 2020-09-02 |
| 1578177234 | Rebekah Gunter | Psychologist | 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 | 2020-09-01 |
| 1225641863 | Dylan Quoc-chuong Vu | Dentist | 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 | 2020-08-24 |
| 1467060111 | Ili Yuan | Dentist | 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 | 2020-07-20 |
| 1750909172 | Marsades Ceasar | Social Worker | 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 | 2020-07-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932724754 | William Dowling | Student in an Organized Health Care Education/Training Program | 260 John Paul Jones Circle, Fpo, AA 23708 | 2020-06-09 |
| 1760003156 | Kylie Miller | Student in an Organized Health Care Education/Training Program | 600 John Paul Jones Circle, Portsmouth, VA 23708 | 2020-04-27 |
| 1750900304 | Jonathan David Hickman | Student in an Organized Health Care Education/Training Program | Nmcp 620 John Paul Jones Cir., Bldg 3, Portsmouth, VA 23708 | 2020-04-14 |
| 1447716550 | Nathan Le Holterman | Student in an Organized Health Care Education/Training Program | Navy Medical Center Portsmouth, 620 John Paul Jones Circle, Portsmouth, VA 23708 | 2019-02-13 |
| 1467930545 | Jonathan Volland | Dentist | Naval Medical Center - 620 John Paul Jones Cr, Portsmouth, VA 23708 | 2018-08-01 |
| 1629570171 | Brendan James O'shea | Student in an Organized Health Care Education/Training Program | 690 John Paul Jones Circle, Fpo, AA 23708 | 2018-03-01 |
| 1467909077 | Patricia Hicks Smith | Nurse Practitioner | 620 John Paul Jones Blvd., Naval Medical Center Portsmouth, Portsmouth, VA 23708 | 2016-09-01 |
| 1790139392 | Lauren Pitters | Student in an Organized Health Care Education/Training Program | 620 John Paul Jones Circle Drive, Naval Medical Center Portsmouth, Portsmouth, VA 23708 | 2016-04-20 |
| 1841683745 | Karrie Anne Brondell Walker | Student in an Organized Health Care Education/Training Program | 620 John Paul Jones, Naval Medical Center Portsmouth, Portsmouth, VA 23708 | 2015-03-17 |
| 1962821967 | Jody Manners | Psychiatry & Neurology | 620 John Paul Jones Cir # 2e, Portsmouth, VA 23708 | 2014-04-08 |
| Find all providers in zip 23708 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841244522 | William Thomas Mautz | Clinical Neuropsychologist | 20 Ladd St, 4th Floor, Portsmouth, NH 03801-4089 | 2006-05-19 |
| 1881807915 | Scott Alan Howard | Clinical Neuropsychologist | 118 Maplewood Ave, Portsmouth, NH 03801-3787 | 2007-05-07 |
| 1306992359 | Steven B. Spielman, Ph.d., P.C. | Clinical Neuropsychologist | 875 Greenland Rd, Suite B-4, Portsmouth, NH 03801-4164 | 2007-01-25 |
| 1538252770 | Steven B. Spielman | Clinical Neuropsychologist | 875 Greenland Rd, Suite B-4, Portsmouth, NH 03801-4164 | 2006-10-02 |
| 1326090226 | Joseph Paul Francis | Clinical Neuropsychologist | 620 John Paul Jones Circle, Naval Medical Center, Portsmouth, VA 23708 | 2006-05-17 |
| 1235100835 | Thomas Edward Kupke | Clinical Neuropsychologist | 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 | 2006-01-31 |
| 1134190978 | John Porter Evans | Clinical Neuropsychologist | 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 | 2006-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861008492 | Nicole N Hashemian | Clinical Neuropsychologist | 3040 Williams Dr Ste 402, Fairfax, VA 22031-4618 | 2020-09-18 |
| 1447877527 | Sabrina Kate Jennings | Clinical Neuropsychologist | 8100 Innovation Park Dr, Fairfax, VA 22031-4870 | 2020-07-06 |
| 1831710755 | Reston Precision Neuropsychology LLC | Clinical Neuropsychologist | 441-d Carlisle Dr., Suite 103, Herndon, VA 20170-4802 | 2020-05-01 |
| 1841848504 | Dr Vivian Begali Lcp Facpn Abn Abpp LLC | Clinical Neuropsychologist | 9327 Midlothian Tpke Ste 1c, North Chesterfield, VA 23235-4965 | 2019-08-27 |
| 1528527140 | Natalia Lugina Mauranne | Clinical Neuropsychologist | 441d Carlisle Dr., Suite 103, Herndon, VA 20170-4802 | 2019-03-13 |
| 1518434604 | Jessica Isabel Alva | Clinical Neuropsychologist | 12735 Inverness Way, Woodbridge, VA 22192-5038 | 2018-10-27 |
| 1447746383 | Hilary Caroline Goetz | Clinical Neuropsychologist | 8505 Arlington Blvd Ste 450, Fairfax, VA 22031-4630 | 2018-07-03 |
| 1851801708 | William David Crews Jr. | Clinical Neuropsychologist | 118 Dreaming Creek Dr, Lynchburg, VA 24502-2735 | 2017-10-05 |
| 1306360425 | Nacmed | Clinical Neuropsychologist | 90 Chatham Heights Rd, Fredericksburg, VA 22405-2566 | 2017-07-31 |
| 1003330408 | Cognitive Consults and Technology LLC | Clinical Neuropsychologist | 3020 Hamaker Court, Suite 103, Neuropsychology Associates of Fairfax, Fairfax, VA 22031 | 2017-07-28 |
| Find all providers with the same taxonomy | ||||
| City | PORTSMOUTH |
| Zip Code | 23708 |
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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.