Provider Demographics
NPI:1114555836
Name:DRPSYCHECK LLC
Entity Type:Organization
Organization Name:DRPSYCHECK LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:P
Authorized Official - Last Name:ECK
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:708-567-7829
Mailing Address - Street 1:6900 SHARLANDS AVE UNIT 1923
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89523-2917
Mailing Address - Country:US
Mailing Address - Phone:708-567-7829
Mailing Address - Fax:
Practice Address - Street 1:6900 SHARLANDS AVE UNIT 1923
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89523-2917
Practice Address - Country:US
Practice Address - Phone:708-567-7829
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-29
Last Update Date:2020-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)