Individual provider Active NPI

Elizabeth Pawlikowski

  • Clinical Psychologist
  • Williamsburg, MA
National Provider Identifier
1023031663
Registry record updated Jan 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2476 Issued in MA
Practice address
97 Williamsburg Rd
Williamsburg, MA 01096-9721
Phone
(413) 538-9803
NPI assigned
Jul 25, 2006
Last updated
Jan 7, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2020

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

Specialties & licenses 1

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

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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

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

Care Compare profile

Medicare Care Compare
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 IncGroup PAC ID 6901797950, 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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2476MAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Servicenet Inc CurrentSince 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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578355200000",
    "number": "1023031663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 388",
            "city": "SOUTH HADLEY",
            "state": "MA",
            "postal_code": "010750388",
            "telephone_number": "413-538-9803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "97 WILLIAMSBURG RD",
            "city": "WILLIAMSBURG",
            "state": "MA",
            "postal_code": "010969721",
            "telephone_number": "413-538-9803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAWLIKOWSKI",
        "first_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-25",
        "last_updated": "2020-01-07",
        "certification_date": "2020-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "2476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsburg, MA

Sources for this page

Verify at the official NPI Registry.