Individual provider Active NPI

Joseph R Elwart, MA, LLP

  • Counseling Psychologist
  • Royal Oak, MI
National Provider Identifier
1114213931
Registry record updated Jun 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
6301008941 Issued in MI
Practice address
2007 Roseland Ave
Royal Oak, MI 48073-5014
Phone
(248) 342-5047
Fax
(248) 545-8510
NPI assigned
Jun 20, 2011
Last updated
Jun 20, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 20, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 6301008941 MI Primary

Addresses

Primary practice location

2007 Roseland Ave
Royal Oak, MI 48073-5014

Mailing address

2007 Roseland Ave
Royal Oak, MI 48073-5014
Phone (248) 342-5047

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
Master of Arts

State licenses

LicenseStateTypeSpecialty
6301008941MIMDCounseling Psychologist

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1308528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308528000000",
    "number": "1114213931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2007 ROSELAND AVE",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480735014",
            "telephone_number": "248-342-5047",
            "fax_number": "248-545-8510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2007 ROSELAND AVE",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480735014",
            "telephone_number": "248-342-5047",
            "fax_number": "248-545-8510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELWART",
        "first_name": "JOSEPH",
        "middle_name": "R",
        "credential": "MA, LLP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-20",
        "last_updated": "2011-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "MI",
            "license": "6301008941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Royal Oak, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2011; 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.