EILEEN KLITSCH PHD
NPI 1912987058
Psychologist in Southport, NC

Active since January 17, 2006
4734 LONG BEACH RD SE, SOUTHPORT, NC 28461(910) 457-0070(910) 457-0062 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Eileen Klitsch Phd NPPES

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

EILEEN KLITSCH PHD (NPI 1912987058) is an individual psychologist in Southport, North Carolina, licensed in North Carolina (3068) and active in the NPI registry since January 2006.

NPPES Registry Identity

NPI1912987058
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameEILEEN KLITSCHCredential: PHD
Location Address4734 LONG BEACH RD SESouthport, NC 28461-8721
Mailing Address4734 Long Beach Rd SeSouthport, NC 28461-8721 · (910) 457-0070 · Fax (910) 457-0062
Fax(910) 457-0062
Sole ProprietorNo
Enumeration DateJanuary 17, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1912987058 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in NC · 3068
Definition

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

4734 LONG BEACH RD SE, Southport, NC 28461

Other Identifiers 2

Other046UANC · Bcbsnc
Medicaid6000819NC

Other Providers at the Same Location NPPES 2

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

Pediatrics
4734 LONG BEACH RD SE
SOUTHPORT, NC 28461
Nurse Practitioner (Family)
4734 LONG BEACH RD SE
SOUTHPORT, NC 28461

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1912987058, enumerated as an "individual" on January 17, 2006.

The provider is located at 4734 LONG BEACH RD SE SOUTHPORT, NC 28461 and the phone number is (910) 457-0070.

Psychologist with taxonomy code 103T00000X.

The provider might be accepting Accepts: Blue Cross Blue Shield, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.