Individual provider Active NPI

Elizabeth A Eber, PH.D.

  • Clinical Psychologist
  • Malden, MA
National Provider Identifier
1093811010
Registry record updated Oct 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY11802 Issued in MA
Practice address
195 Canal St
Malden, MA 02148-6701
Phone
(215) 247-4854
Fax
(215) 247-4857
NPI assigned
Sep 16, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PS008896L PA
Clinical Psychologist 103TC0700X PSY11802 MA Primary

Addresses

Primary practice location

195 Canal St
Malden, MA 02148-6701

Mailing address

80 Park St Apt 44
Brookline, MA 02446-6314
Phone (610) 256-7330

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, MA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20080414000122 PA Practitioner - Clinical Psychologist 2163509274 Reassigns benefits to 1 organization
I20231107001711 MA Practitioner - Clinical Psychologist 2163509274 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Emory University School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mental Health Specialty Group PAGroup PAC ID 8921466228, 726 clinicians

Practice addresses (Care Compare)

101 Federal St
Boston, MA 02110-1817
Phone (323) 205-7088

1650 Market St
Philadelphia, PA 19103-7301
Phone (323) 205-7088

Merit-based Incentive Payment System (MIPS)

Final score
91.27 of 100Reported as group
Quality
77.51
Promoting interoperability
100
Improvement activities
40
Cost
76.72

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY11802MAMDClinical Psychologist
PS008896LPAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Cambridge Public Health Commission CurrentSince Sep 26, 2023 Accepting new patients
Cambridge Public Health Commission CurrentSince Sep 26, 2023 Accepting new patients
Mental Health Specialty Group PA CurrentSince May 12, 2025 Accepting new patients
Yapa Group Therapy, Inc. Clinical Past Accepting new patients
Dresher Treatment Group Inc. Past Accepting new patients

Locations

101 Federal St
Boston, MA 02110
Phone (206) 744-8030

1493 Cambridge St
Cambridge, MA 02139
Phone (617) 665-1185

195 Canal St
Malden, MA 02148
Phone (781) 338-0055

350 Main St
Ste 31
Malden, MA 02148
Phone (781) 397-6583

1650 Market St
Philadelphia, PA 19103
Phone (215) 514-0760

Organizations & group practices 5

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": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729814400000",
    "number": "1093811010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 PARK ST APT 44",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024466314",
            "telephone_number": "610-256-7330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 CANAL ST",
            "city": "MALDEN",
            "state": "MA",
            "postal_code": "021486701",
            "telephone_number": "215-247-4854",
            "fax_number": "215-247-4857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBER",
        "first_name": "ELIZABETH",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-16",
        "last_updated": "2024-10-25",
        "certification_date": "2024-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS008896L",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "PSY11802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Malden, MA

Sources for this page

Verify at the official NPI Registry.