PAGE KLITZMAN EAKER PHD - NPI 1497134035 - Psychologist in Greenville, NC

Q: What is Page Eaker's NPI number?

The NPI number for Page Eaker is 1497134035. It was assigned to this individual provider in the NPPES registry on May 28, 2015.

Q: What is Page Eaker's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

Q: Is Page Eaker enrolled in Medicare?

No. Page Eaker has opted out of Medicare through December 10, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Page Eaker was last updated on September 19, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Page Klitzman Eaker Phd NPPES

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

PAGE KLITZMAN EAKER PHD (NPI 1497134035) is an individual clinical child & adolescent provider in Greenville, North Carolina, licensed in North Carolina (5071) and active in the NPI registry since May 2015. She has opted out of Medicare through December 10, 2027.

NPPES Registry Identity

NPI1497134035

Entity TypeIndividualFemale

Primary Taxonomy103TC2200X

Provider Legal NamePAGE KLITZMAN EAKERCredential: PHD

Location Address118 OAKMONT DRGreenville, NC 27858-5936

Mailing Address118 Oakmont DrGreenville, NC 27858-5936

Phone(252) 364-8790

Sole ProprietorNo

Enumeration DateMay 28, 2015

Last NPPES UpdateSeptember 19, 2017

✔ NPI 1497134035 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Clinical Child & AdolescentBehavioral Health & Social Service Providers

Taxonomy Code103TC2200X

License✔ Licensed in NC · 5071

Definition

A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.

118 OAKMONT DR, Greenville, NC 27858

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Page Klitzman Eaker 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 December 10, 2021 through December 10, 2027.

Opt-Out Effective DateDecember 10, 2021

Opt-Out In Effect ThroughDecember 10, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 20

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

ENFINITY ROSS

Behavior Technician