Elizabeth Pawlikowski

Individual provider Active NPI Clinical Psychologist · Williamsburg, MA

NPI 1023031663 · NPPES record last updated Jan 7, 2020

Key facts

NPI
1023031663
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Psychologist 103TC0700X
License
2476 (MA)
Practice address
97 Williamsburg Rd
Williamsburg, MA 01096-9721
Phone
(413) 538-9803
NPI assigned
Jul 25, 2006
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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

Medicare Care Compare profile

Specialty
Clinical Psychologist
Education
JS Weill Medical College, Cornell University, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Servicenet Inc (53 clinicians)

Practice addresses (Care Compare)

400 Amity St
Amherst, MA 01002-2241
Phone (413) 549-0095

50 Pleasant St
Northampton, MA 01060-4127
Phone 4135846855221543

98 Lower Westfield Rd
Holyoke, MA 01040-9403
Phone (413) 533-5201

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20111206000351 MA Practitioner - Clinical Psychologist 1557536349 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Servicenet Inc Current
since Jan 1, 1982
Accepting new patients

Locations

21 Olander Dr
Northampton, MA 01060
Phone (413) 442-4003

50 Pleasant St
Northampton, MA 01060
Phone (413) 585-1300

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 2476 MA Yes

Addresses

Primary practice location

97 Williamsburg Rd
Williamsburg, MA 01096-9721

Mailing address

PO Box 388
South Hadley, MA 01075-0388
Phone (413) 538-9803

Other providers in Williamsburg, MA

All providers in Williamsburg, MA · Clinical Psychologist in Massachusetts

Sources for this page

Verify at the official NPI Registry.