Active NPI
Elizabeth Scott Warner, PSY.D.
- Psychologist
- Auburndale, MA
National Provider Identifier
1043316649
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 4124
- Practice address
- 450 Lexington Street
Suite 203
Auburndale, MA 02466 - Phone
- (857) 576-0577
- NPI assigned
- Sep 15, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 4124 | MA | Primary |
Addresses
Primary practice location
450 Lexington Street
Suite 203
Auburndale, MA 02466
Mailing address
8 Cataumet St
Jamaica Plain, MA 02130
Phone (857) 576-0577
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| WAW04014 | Other | MA | BLUE CROSS/BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1640649600000",
"number": "1043316649",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8 CATAUMET ST",
"city": "JAMAICA PLAIN",
"state": "MA",
"postal_code": "02130",
"telephone_number": "857-576-0577"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "450 LEXINGTON STREET",
"address_2": "SUITE 203",
"city": "AUBURNDALE",
"state": "MA",
"postal_code": "02466",
"telephone_number": "857-576-0577"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARNER",
"first_name": "ELIZABETH",
"middle_name": "SCOTT",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-15",
"last_updated": "2021-12-28",
"certification_date": "2021-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MA",
"license": "4124",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "WAW04014",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Auburndale, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.