Healthcare Provider Details

I. General information

NPI: 1114555836
Provider Name (Legal Business Name): DRPSYCHECK LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/29/2020
Last Update Date: 03/29/2020
Certification Date: 03/29/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6900 SHARLANDS AVE UNIT 1923
RENO NV
89523-2917
US

IV. Provider business mailing address

6900 SHARLANDS AVE UNIT 1923
RENO NV
89523-2917
US

V. Phone/Fax

Practice location:
  • Phone: 708-567-7829
  • Fax:
Mailing address:
  • Phone: 708-567-7829
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: DR. ERIC P ECK
Title or Position: OWNER
Credential: DO
Phone: 708-567-7829