Elizabeth C. Magnus, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

604 Issued in WI

Practice address

1519 Primrose LN
Janesville, WI 53545-0418

Phone

(608) 752-7255

Fax

(608) 752-6942

NPI assigned

Jul 13, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Ap Associates

  • Professional Counselor
  • Janesville, WI
  • NPI 1235228891

  Clinical

  NPD (past) Authorized official
• Associates in Psychotherapy, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Janesville, WI
  • NPI 1831448091

  Clinical

  NPD (past)

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1104842467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1519 PRIMROSE LN",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "535450418",
            "telephone_number": "608-752-7255",
            "fax_number": "608-752-6942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1519 PRIMROSE LN",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "535450418",
            "telephone_number": "608-752-7255",
            "fax_number": "608-752-6942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGNUS",
        "first_name": "ELIZABETH",
        "middle_name": "C.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-13",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WI",
            "license": "604",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39007800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lee Mabry, APNP
• Curtis Macek, LPC, CSAC
• Steven P Maciolek, MD
• Joan Marie Maddock, OT
• Madison Vamc
• Lauren E Magrath, APSW
• Pamela S Mahaffey, APNP
• Jacob Thomas Mahr, PHARMD
• Dennys E Maldonado, MD
• Joel Mallari

• All providers in Janesville, WI
• Clinical Psychologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.

Verify at the official NPI Registry.