Van Eck, Ellen R
Van Eck, Ellen R is an sole proprietor health care provider with primary practice located at 5015 Birch Street , Newport Beach CA 92660-2162. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counseling, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Van Eck, Ellen R can be contacted via phone (949) 887-4166.Contact Information
Primary practice address
5015 Birch Street
Newport Beach CA 92660-2162
Phone: (949) 887-4166
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counseling | 103TC1900X | 21511 | California |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 21511 | California |
Profile Details
| NPI number | 1528259553 |
|---|---|
| LBN Legal business name | Van Eck, Ellen R |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 6th, 2007 |
| Last updated | Sep 5th, 2019 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1528259553 | NPPES |
| California | Other | 21511 | LICENSE |
Popular Providers
-
Matusoff, Michelle Joanne
3101 W Coast Hwy , Newport Beach CA 92663-4001 -
Baumgarten, Frances
1000 Quail St Suite 187, Newport Beach CA 92660-2731 -
Veltman, Brett
4060 Campus Dr Ste 120 , Newport Beach CA 92660-2205 -
Nickerson, Kathleen Anne
280 Newport Center Dr Suite 200, Newport Beach CA 92660-7526 -
Teixeira, Jerry Lee
200 Newport Center Dr Suite 300, Newport Beach CA 92660-7501 -
Bardin, Carole A
32 Rue Grand Vallee , Newport Beach CA 92660-5250 -
Lewis, Jacklyn Elizabeth
23 Corporate Plaza Dr Ste 150 , Newport Beach CA 92660-7908 -
Koransky, Colin Graham
360 San Miguel Dr Ste 306 , Newport Beach CA 92660-7829