Elizabeth Pangrazzi, PSYD LP CAADC

Primary specialty

PsychologistTaxonomy code 103T00000X

License

6301018041 Issued in MI

Practice address

1102 Carpenter Ave
Iron Mountain, MI 49801-4722

Phone

(906) 202-9444

NPI assigned

May 23, 2007

Last updated

Apr 24, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Aspirus Iron River Hospital & Clinics, Inc Hospital, Iron River, MI, CCN 231318

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/10114/brand/2/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Aspen Counseling PLLC

  • Psychologist
  • Iron Mountain, MI
  • NPI 1780226480
  Medicare reassignment NPD Authorized official
• Aspirus Iron River Hospital & Clinics, Inc.

  dba Aspirus Iron River Hospital

  • Critical Access Hospital
  • Iron River, MI
  • NPI 1497750830
  Medicare reassignment NPD
• Aspirus Ironwood Hospital & Clinics, Inc.

  • Critical Access Hospital
  • Ironwood, MI
  • NPI 1649297342
  Medicare reassignment NPD
• Aspirus Ironwood Hospital & Clinics, Inc.

  • Family Medicine Physician
  • Ironwood, MI
  • NPI 1992704753
  Medicare reassignment NPD
• Catholic Social Services of the U.P.

  • Clinical Social Worker
  • Marquette, MI
  • NPI 1619907052
  Medicare reassignment NPD
• Aspen Counseling and Recovery Services, PLLC

  • Clinical Psychologist
  • Munising, MI
  • NPI 1184949653
  NPD (past) Authorized official
• Aspirus Iron River Hospital & Clinics, Inc.

  dba Aspirus Iron River Clinic

  • Rural Health Clinic/Center
  • Iron River, MI
  • NPI 1306344783
  NPD
• Aspirus Ironwood Hospital & Clinics, Inc.

  dba Aspirus Palliative Medicine - Michigan

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Ironwood, MI
  • NPI 1609743590
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Aspirus Iron River Hospital & Clinics, Inc.

  dba Aspirus Iron River Clinic

  • Multi-Specialty Clinic/Center
  • Iron River, MI
  • NPI 1457865198

  Hospital

  Care Compare affiliation
• Aspirus Iron River Hospital & Clinics, Inc.

  dba Aspirus Iron River Hospital

  • Critical Access Hospital
  • Iron River, MI
  • NPI 1497750830
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587686400000",
    "number": "1003026824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1102 CARPENTER AVE",
            "city": "IRON MOUNTAIN",
            "state": "MI",
            "postal_code": "498014722",
            "telephone_number": "906-202-9444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1102 CARPENTER AVE",
            "city": "IRON MOUNTAIN",
            "state": "MI",
            "postal_code": "498014722",
            "telephone_number": "906-202-9444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANGRAZZI",
        "first_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "PSYD LP CAADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-23",
        "last_updated": "2020-04-24",
        "certification_date": "2020-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MI",
            "license": "C-00560",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301018041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristi Rae Olson, M.D.
• Anna Beth Painter, RRT
• Mary Beth Painter
• Elizabeth Esther Paling, N.P.
• Kelly Palmquist, LLMSW
• Fawn Papatriantafyllou
• Charles A Papp, DO
• Karla Anne Pascoe, RN
• Debra Jean Pate, LCSW
• Gregory S Patterson, HSPP

• Psychologist in Iron Mountain, MI
• Providers in Iron Mountain, MI by specialty
• Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.