NPIMap

Individual provider Active NPI

Elizabeth Lee Higgins, PH.D.

  • Psychologist
  • Woburn, MA
National Provider Identifier
1164709333
Registry record updated Nov 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
8745 Issued in MA
Practice address
300 Tradecenter
Suite 7790
Woburn, MA 01801-1883
Phone
(617) 230-8476
Fax
(781) 862-1270
NPI assigned
Nov 15, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 15, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 8745 MA Primary

Addresses

Primary practice location

300 Tradecenter
Suite 7790
Woburn, MA 01801-1883

Mailing address

300 Tradecenter
Suite 7790
Woburn, MA 01801-1883
Phone (617) 230-8476

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)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
8745MAMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Cognitive Behavior Therapy Associates, LLC Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1321315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321315200000",
    "number": "1164709333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 TRADECENTER",
            "address_2": "SUITE 7790",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018011883",
            "telephone_number": "617-230-8476",
            "fax_number": "781-862-1270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 TRADECENTER",
            "address_2": "SUITE 7790",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018011883",
            "telephone_number": "617-230-8476",
            "fax_number": "781-862-1270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIGGINS",
        "first_name": "ELIZABETH",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-15",
        "last_updated": "2011-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MA",
            "license": "8745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woburn, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.