Active NPI
Janice Marie Elsman, MA, LLP
- Psychologist
- Bloomfield Hills, MI
National Provider Identifier
1063595155
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 6301002894
- Practice address
- 7457 Franklin Rd
Suite 303
Bloomfield Hills, MI 48301-3611 - Phone
- (248) 626-0636
- Fax
- (248) 391-7478
- NPI assigned
- Oct 23, 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 | 6301002894 | MI | Primary |
Addresses
Primary practice location
7457 Franklin Rd
Suite 303
Bloomfield Hills, MI 48301-3611
Mailing address
4811 Burnley Dr
Bloomfield Hills, MI 48304-3781
Phone (248) 626-0636
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)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6301002894 | MI | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heron Ridge Associates PLC | Psychologist | 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": "1161561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1063595155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4811 BURNLEY DR",
"city": "BLOOMFIELD HILLS",
"state": "MI",
"postal_code": "483043781",
"telephone_number": "248-626-0636",
"fax_number": "248-391-7478"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7457 FRANKLIN RD",
"address_2": "SUITE 303",
"city": "BLOOMFIELD HILLS",
"state": "MI",
"postal_code": "483013611",
"telephone_number": "248-626-0636",
"fax_number": "248-391-7478"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELSMAN",
"first_name": "JANICE",
"middle_name": "MARIE",
"credential": "MA, LLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MI",
"license": "6301002894",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bloomfield Hills, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.