Sharon Virginia Elwell, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PS016019 Issued in PA

Practice address

1901 Hay Ter Lowr Level6
Easton, PA 18042

Phone

(610) 253-4446

NPI assigned

Mar 23, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560470400000",
    "number": "1144280389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 HAY TER LOWR LEVEL6",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180424650",
            "telephone_number": "610-253-4446",
            "fax_number": "610-253-4414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 HAY TER LOWR LEVEL6",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "18042",
            "telephone_number": "610-253-4446"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1251 S Cedar Crest Blvd",
            "address_2": "Suite 211D",
            "address_purpose": "LOCATION",
            "city": "Allentown",
            "state": "PA",
            "postal_code": "181036205",
            "country_code": "US",
            "telephone_number": "610-432-5066",
            "fax_number": "610-432-0973",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1251 S Cedar Crest Blvd",
            "address_2": "Suite 211D",
            "address_purpose": "LOCATION",
            "city": "Allentown",
            "state": "PA",
            "postal_code": "181036205",
            "country_code": "US",
            "telephone_number": "610-432-5066",
            "fax_number": "610-432-0973",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELWELL",
        "first_name": "SHARON",
        "middle_name": "VIRGINIA",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-23",
        "last_updated": "2019-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "PA",
            "license": "2827",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS016019",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7257479",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN HEALTH SERVICES",
            "identifier": "556931000",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in Easton, PA
• Providers in Easton, PA by specialty
• Clinical Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2019; 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.