Elizabeth Ann Waiess, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6301005767 Issued in MI

Practice address

1749 Hamilton Rd Ste 102B
Okemos, MI 48864-1941

Phone

(517) 336-9930

NPI assigned

Jan 30, 2006

Sex

Female

Sole proprietor

Yes

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

Enrolled in MI

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 1

Specialty

Clinical Psychologist

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Mosaic Speech Therapy LLC

  • Speech-Language Pathologist
  • East Lansing, MI
  • NPI 1881170892
  NPD (past)

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728604800000",
    "number": "1114998838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1749 HAMILTON RD STE 102B",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488641941",
            "telephone_number": "517-336-9930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1749 HAMILTON RD STE 102B",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488641941",
            "telephone_number": "517-336-9930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAIESS",
        "first_name": "ELIZABETH",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-30",
        "last_updated": "2024-10-11",
        "certification_date": "2024-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301005767",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUE SHIELD",
            "identifier": "680C347200",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alyssa Voort
• Voyage Eye Care PLLC
• Vpa PC
• Amy A Waddell, LMSW
• Priscilla Wade, PH.D
• Margery Wakefield, LLMSW
• Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-2866)
• Patrick Walchak, LMSW
• Kathleen M. Waldron
• Walgreen Co (Walgreens #11286)

• Clinical Psychologist in Okemos, MI
• Providers in Okemos, MI by specialty
• Clinical Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.