DR. BRUCE MICHAEL ECKER (NPI# 1366654766) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366654766 |
| Entity Type | Individual |
| Full Name | DR. BRUCE MICHAEL ECKER |
| Credential | PH.D. |
| Practice Address |
780 Chestnut St Suite 12 Springfield MA 01107-1610 |
| Practice Telephone | 4137338445 |
| Practice Fax Number | 4137338429 |
| Mailing Telephone | 4137338445 |
| Mailing Fax Number | 4137338429 |
| Enumeration Date | 2007-05-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 103G00000X | Clinical Neuropsychologist | 6377 | MA | Behavioral Health & Social Service Providers |
| X | 103TC0700X |
Psychologist Specialization: Clinical |
6377 | MA | Behavioral Health & Social Service Providers |
| X | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
6377 | MA | Behavioral Health & Social Service Providers |
| X | 103TS0200X |
Psychologist Specialization: School |
6377 | MA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | TUFTS HEALTH PLAN | 792894 | 01 |
| MO | MBC CORPORATION | 236595 | 01 |
| UT | UNITED BEHAVIORAL HEALTH | 87726 | 01 |
| CT | OXFORD HEALTH PLANS | P3447893 | 01 |
| MA | BLUE CROSS BLUE SHIELD | W05829 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649406422 | Bruce Mitchell Ecker | Marriage & Family Therapist | 445 Bellevue Ave, Ste. 202, Oakland, CA 94610-4923 | 2009-06-06 |
| Street Address |
780 CHESTNUT ST SUITE 12 |
| City | SPRINGFIELD |
| State | MA |
| Zip Code | 01107-1610 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902801269 | Lawrence Henry Field | Physical Medicine & Rehabilitation | 780 Chestnut St, Ste 22, Springfield, MA 01107-1610 | 2005-06-14 |
| 1871048462 | Benjamin C. Dickert | Podiatrist | 780 Chestnut St, Suite 8, Springfield, MA 01107-1637 | 2016-08-24 |
| 1710376934 | Julyvette Rodriguez | Nurse Practitioner | 780 Chestnut St, Springfield, MA 01107-1637 | 2015-01-12 |
| 1841528908 | Ellen Ann Latour | Nurse Practitioner | 780 Chestnut St, Suite 23, Springfield, MA 01107-1637 | 2009-12-01 |
| 1326286378 | Preventive Medicine Associates | Counselor | 780 Chestnut St, Suite 4, Springfield, MA 01107-1637 | 2009-01-29 |
| 1922272822 | Sonography Associates, Inc | Clinical Medical Laboratory | 780 Chestnut St, Ste 4, Springfield, MA 01107-1610 | 2008-04-22 |
| 1316132517 | James S. Rosenthal, Md PC | Ophthalmology | 780 Chestnut St, Suite 19, Springfield, MA 01107-1610 | 2007-09-11 |
| 1821282047 | David J. Goggin | Physical Therapist | 780 Chestnut St, Suite 22, Springfield, MA 01107-1610 | 2007-08-30 |
| 1336249622 | Patrick Matthew Jones | Podiatrist | 780 Chestnut St, Suite 8, Springfield, MA 01107-1610 | 2006-09-25 |
| 1922112820 | St. John D Mcgrath | Internal Medicine | 780 Chestnut St, Suite 30, Springfield, MA 01107-1610 | 2006-08-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740702547 | Domingo Nieves Jr. | Counselor | 2225 Main St., Springfield, MA 01107 | 2017-07-13 |
| 1801318266 | Denise Lawson | Counselor | 2257 Main Street, Springfield, MA 01107 | 2017-07-07 |
| 1568912491 | Trina Cysz | Nurse Practitioner | 101 Wason Avenue, Commonwealth Care Alliance, Springfield, MA 01107 | 2016-10-04 |
| 1609322262 | Toheeb Oladimeji Bakare | Counselor | 322 Birnie Avenue, Springfield, MA 01107 | 2016-09-01 |
| 1952701161 | Jalissa Sostre | Counselor | 32 Abbe Ave, Springfield, MA 01107 | 2014-08-26 |
| 1659799161 | Elizabeth A. Otmaskin | Obstetrics & Gynecology | 3455 Main Street Suite C, Baysttate Ob Gyn Group Inc, Springfield, MA 01107 | 2014-04-01 |
| 1205268885 | Catherine Matejcek Davies | Counselor | 246 Park Street, Springfield, MA 01107 | 2013-08-06 |
| 1750723268 | Jasdeep S. Badwal | Allergy & Immunology | 2 Medical Center Dr Ste 406, Springfield, MA 01107 | 2013-07-25 |
| 1255691846 | Medical Express Urgent Care Center, Co. Inc. | Physical Medicine & Rehabilitation | 438 Chestnut Street, Springfield, MA 01107 | 2012-05-17 |
| 1205166642 | Matthew R Kelley | Audiologist | 100 Wason, Suite 100, Springfield, MA 01107 | 2010-01-07 |
| Find all providers in zip 01107 | ||||
| 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 |
|---|---|---|---|---|
| 1194850859 | Murrell Counseling Service, LLC | Clinical Neuropsychologist | 2200 E Sunshine St Ste 312, Springfield, MO 65804-1883 | 2007-02-22 |
| 1356424972 | Frederick A Ulam IIi | Clinical Neuropsychologist | 516 E Catalpa St, Springfield, MO 65807-1614 | 2006-10-24 |
| 1205864998 | Deborah A. Fein | Clinical Neuropsychologist | 155 Maple St, Suite 407, Springfield, MA 01105-1828 | 2006-06-29 |
| 1346294493 | Michelle Papka Puri | Clinical Neuropsychologist | 195 Mountain Ave, Springfield, NJ 07081-1755 | 2006-05-22 |
| 1306843735 | Michael Whetstone | Clinical Neuropsychologist | 2115 S Fremont Ave Ste 3000, Springfield, MO 65804-2215 | 2005-06-30 |
| 1437773454 | Alphonso Smith | Clinical Neuropsychologist | 319 E Madison St Fl 3, Springfield, IL 62701-1035 | 2020-06-05 |
| 1093349888 | Lindsay Nguyen Vo | Clinical Neuropsychologist | 1300 E Bradford Pkwy, Springfield, MO 65804-4264 | 2020-03-02 |
| 1992289425 | Jacob Levi Priluck | Clinical Neuropsychologist | 6120 Brandon Ave, Springfield, VA 22150-2522 | 2018-09-20 |
| 1295230431 | Jessica Di Marco | Clinical Neuropsychologist | 29 Ridgewood Rd, Springfield, VT 05156-3060 | 2018-03-29 |
| 1205355542 | Jessica Degaetano | Clinical Neuropsychologist | 195 Mountain Ave, Springfield, NJ 07081-1755 | 2017-09-19 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 01107 |
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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.