What is Ethan Eisen's NPI number?

Ethan Eisen's National Provider Identifier (NPI) is 1558968842, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Ethan Eisen's specialty?

Ethan Eisen is listed in the NPPES registry with a primary specialty of Clinical Psychologist (Behavioral Health & Social Service Providers).

Where is Ethan Eisen located?

Ethan Eisen's practice location on file with NPPES is 107 Lakeside Dr E, Lawrence, NY 11559-1718.

What is Ethan Eisen's phone number?

The practice phone number listed in the NPPES registry for Ethan Eisen is (516) 259-3148.

Is Ethan Eisen's NPI active?

Yes — Ethan Eisen's NPI (1558968842) is active in the NPPES registry as of the last update on 2020-10-08.

IndividualActive

Ethan Eisen, PHD

NPI 1558968842 · Clinical Psychologist · Lawrence, NY

Ethan Eisen, PHD is a Clinical Psychologist provider in Lawrence, NY (NPI 1558968842).

Provider details

NPI number: 1558968842
Entity type: Individual
Primary specialty: Clinical PsychologistBehavioral Health & Social Service Providers
Credential: PHD
Sex: Male
Sole proprietor: Yes
License: 05837 (MD)

Specialties & taxonomies

Clinical PsychologistPrimary103TC0700XLicense 05837 (MD)
Behavioral Health & Social Service Providers

Profile Score

Established profile(63/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
5 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

107 Lakeside Dr E

Lawrence, NY 11559-1718

Phone: (516) 259-3148

Street-level locationGet directions

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Mailing address