Individual provider Active NPI

Elizabeth D. Krause, PH.D.

  • Clinical Psychologist
  • Philadelphia, PA
National Provider Identifier
1053577296
Registry record updated Aug 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS016338 Issued in PA
Practice address
3720 Walnut St
Solomon Lab Bluilding
Philadelphia, PA 19104-6241
Phone
(215) 746-2194
Fax
(215) 898-7301
NPI assigned
Aug 6, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2008

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 PS016338 PA Primary

Addresses

Primary practice location

3720 Walnut St
Solomon Lab Bluilding
Philadelphia, PA 19104-6241

Mailing address

3720 Walnut St
Solomon Lab BLDG.
Philadelphia, PA 19104-6241
Phone (215) 746-2194

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PS016338PAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Women'S Mental Health Associates, PC Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1217980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217980800000",
    "number": "1053577296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3720 WALNUT ST",
            "address_2": "SOLOMON LAB BLDG.",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191046241",
            "telephone_number": "215-746-2194",
            "fax_number": "215-898-7301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3720 WALNUT ST",
            "address_2": "SOLOMON LAB BLUILDING",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191046241",
            "telephone_number": "215-746-2194",
            "fax_number": "215-898-7301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAUSE",
        "first_name": "ELIZABETH",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-06",
        "last_updated": "2008-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS016338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2008; 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.