1. Home
  2. Directory
  3. Washington
  4. Olympia
  5. Psychologist
  6. NPI Profile

DR. JOHN RICHTER VAN EENWYK PHD
NPI 1093964181
Psychologist - Psychoanalysis in Olympia, WA

Active since September 12, 2008Opted out of Medicare · through Jan 1, 2028
1026 STATE AVE NE, OLYMPIA, WA 98506(360) 352-2974 Get Directions Write a Review

NPPES record last updated: October 28, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. John Richter Van Eenwyk Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JOHN RICHTER VAN EENWYK PHD (NPI 1093964181) is an individual psychoanalysis provider in Olympia, Washington, licensed in Washington (PY00001787) and active in the NPI registry since September 2008. He has opted out of Medicare through January 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1093964181
Entity TypeIndividualMale
Primary Taxonomy103TP0814X
Provider Legal NameDR. JOHN RICHTER VAN EENWYKCredential: PHD
Location Address1026 STATE AVE NEOlympia, WA 98506-4065
Mailing Address1026 State Ave NeOlympia, WA 98506-4065 · (360) 870-0628
Phone(360) 352-2974
Sole ProprietorYes
Enumeration DateSeptember 12, 2008
Last NPPES UpdateOctober 28, 2010
✔ NPI 1093964181 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · PsychoanalysisBehavioral Health & Social Service Providers
Taxonomy Code103TP0814X
License✔ Licensed in WA · PY00001787
Definition
A psychologist whose specialty is distinguished from other specialties by its body of knowledge and its intensive treatment approaches. It aims at structural changes and modifications of a person's personality. Psychoanalysis promotes awareness of unconscious, maladaptive and habitually recurrent patterns of emotion and behavior, allowing previously unconscious aspects of the self to become integrated and promoting optimal functioning, healing and creative expression.
1026 STATE AVE NE, Olympia, WA 98506
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. John Richter Van Eenwyk Phd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2016 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2016
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NEW DAY MIDWIFERY
Midwife
1026 STATE AVE NE
OLYMPIA, WA 98506
Thurston County (360) 701-1418
DR. PATRICIA MARIE SHORT PSYD
Psychologist (Clinical)
1026 STATE AVE NE
OLYMPIA, WA 98506
Thurston County (360) 709-3400
RACHAEL COOK LM CPM
Midwife
1026 STATE AVE NE
OLYMPIA, WA 98506
Thurston County (360) 701-1418
DR. JOHN F ROBINSON PHD
Psychologist (Clinical)
1026 STATE AVE NE
OLYMPIA, WA 98506
Thurston County (360) 352-9577

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John Van Eenwyk's NPI number?

The NPI number for John Van Eenwyk is 1093964181. It was assigned to this individual provider in the NPPES registry on September 12, 2008.

Where is John Van Eenwyk located?

John Van Eenwyk practices at 1026 State Ave NE, Olympia, WA 98506. The listed phone number is (360) 352-2974.

What is John Van Eenwyk's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Psychoanalysis, with taxonomy code 103TP0814X.

Is John Van Eenwyk enrolled in Medicare?

No. John Van Eenwyk has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for John Van Eenwyk was last updated on October 28, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.