Organization Active NPI

Elizabeth Roberts Psychology, P.C.

  • Psychologist
  • Lenox, MA
National Provider Identifier
1053060103
Registry record updated Mar 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
ELIZABETH ROBERTS PSYCHOLOGY, P.C.
Practice address
69 Church St Ste 4
Lenox, MA 01240-2540
Phone
(413) 274-2393
Fax
(413) 353-5006
NPI assigned
Mar 23, 2022
Last updated
Mar 23, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2022

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

Authorized official

Name
Dr. Elizabeth Vail Roberts, PSYDNPI 1184013427
Title
Owner
Phone
(413) 274-2393

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X NU Primary

Addresses

Primary practice location

69 Church St Ste 4
Lenox, MA 01240-2540

Mailing address

PO Box 306
West Stockbridge, MA 01266-0306
Phone (413) 274-2393

National Provider Directory

National Provider Directory

Locations

69 Church St
Ste 4
Lenox, MA 01240
Phone (413) 274-2393

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1647993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647993600000",
    "number": "1053060103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 306",
            "city": "WEST STOCKBRIDGE",
            "state": "MA",
            "postal_code": "012660306",
            "telephone_number": "413-274-2393",
            "fax_number": "413-353-5006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69 CHURCH ST STE 4",
            "city": "LENOX",
            "state": "MA",
            "postal_code": "012402540",
            "telephone_number": "413-274-2393",
            "fax_number": "413-353-5006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIZABETH ROBERTS PSYCHOLOGY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-23",
        "last_updated": "2022-03-23",
        "certification_date": "2022-03-23",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "VAIL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "413-274-2393",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lenox, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.