Elisabeth Powell, PHD
Individual provider Active NPI Psychologist · Felton, CA
NPI 1003345984 · NPPES record last updated Apr 3, 2025
Key facts
- NPI
- 1003345984
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychologist 103T00000X
- License
- 31717 (CA)
- Practice address
- 10985 Sequoia Ave
Felton, CA 95018-8930 - Phone
- (650) 454-6060
- NPI assigned
- Jun 5, 2017
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31717 | CA | MD | Chiropractor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 31717 | CA | Yes |
Addresses
Primary practice location
10985 Sequoia Ave
Felton, CA 95018-8930
Mailing address
10985 Sequoia Ave
Felton, CA 95018-8930
Phone (650) 454-6060
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14372753 | Other | CAQH | |
| 31717 | Other | CA | PSYCHOLOGIST LICENSE |
Other names
- Dr. Elisabeth Jurney
Other providers in Felton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 3, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.