Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BOUKJE ELISABETH EERKENS, PSY.D.
DeactivatedDR. BOUKJE ELISABETH EERKENS, PSY.D. is a Clinical Psychologist healthcare provider located in SAN RAFAEL, California. NPI 1033386768 is deactivated in the NPPES registry. Verify at CMS.
Clinical Psychologist · SAN RAFAEL, CA
This NPI has been deactivated.
The record was deactivated on May 17, 2017.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1033386768
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 12, 2008 (9.013698630137 yrs)
- Last Updated
- Jan 4, 2021
- Deactivated
- May 17, 2017
- Licenses
-
PSY20001 (CA)PSY20001 (CA)PSY20001 (CA)
Practice Information
- Address
-
1050 NORTHGATE DR STE 12SAN RAFAEL, CA, 949032544Browse CA providers · Browse ZIP 94903
- Phone
- 4152723406
- Fax
- 4153003086
- Primary Specialty
-
Clinical Psychologist
103TC0700X
- Additional Specialty
- Forensic Psychologist
- Additional Specialty
- Clinical Psychologist
Other Clinical Psychologist Providers in SAN RAFAEL, CA
| Name | Credential | NPI |
|---|---|---|
| DR. KATHLEEN MARIE AYERS | PSY D | 1588643217 |
| DR. ANNA G WEIGEL | PSY.D. | 1831147792 |
| TEDDY ADELSTEIN | PH.D. | 1144276874 |
| DR. ROBERTA TERRY SEIFERT, PH.D. | PH.D. | 1760425359 |
| DR. BEVERLY RAE MATSUISHI | PH.D. | 1578598447 |
| DR. MARISOL MUNOZ-KIEHNE | PH.D. | 1306867403 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.