Individual provider Active NPI

Elizabeth Paige Sebastian, PSYD

  • Clinical Psychologist
  • Lebanon, OH
National Provider Identifier
1174017008
Registry record updated Nov 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
3776 Issued in TN
Practice address
759 Columbus Ave
Lebanon, OH 45036-1754
Phone
(513) 932-4337
NPI assigned
Jun 14, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 3776 TN Primary

Addresses

Primary practice location

759 Columbus Ave
Lebanon, OH 45036-1754

Mailing address

516 Uptown SQ
Murfreesboro, TN 37129-0589
Phone (931) 247-6045

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address psebastian@hpgtn.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250730002177 TN Practitioner - Psychiatry 8729595079 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brownsville Medical Clinic, P.a.Group PAC ID 0547339772, 61 clinicians
BH Services Southeast 1 PCGroup PAC ID 7012457054, 96 clinicians
Ipc Pac Healthcare Services of Tennessee PCGroup PAC ID 0840587572, 74 clinicians

Practice addresses (Care Compare)

2565 N Washington Ave
Brownsville, TN 38012-1610

505 N Roan St
Johnson City, TN 37601-4740
Phone (423) 975-2000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
NV Pacs 2 LLC CurrentSince Aug 18, 2025 Accepting new patients
Ipc Pac Healthcare Services of Tennessee PC CurrentSince Aug 18, 2025 Accepting new patients
BH Services Southeast 1 PC CurrentSince Aug 18, 2025 Accepting new patients
CS Pacs 3 Southeast, LLC CurrentSince Aug 18, 2025 Accepting new patients

Locations

18 N Cavalier Dr
Alamo, TN 38001
Phone (731) 696-4500

880 S Mohawk Dr
Erwin, TN 37650
Phone (423) 743-7669

Organizations & group practices 5

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": "1528934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667260800000",
    "number": "1174017008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 UPTOWN SQ",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371290589",
            "telephone_number": "931-247-6045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "759 COLUMBUS AVE",
            "city": "LEBANON",
            "state": "OH",
            "postal_code": "450361754",
            "telephone_number": "513-932-4337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEBASTIAN",
        "first_name": "ELIZABETH",
        "middle_name": "PAIGE",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-14",
        "last_updated": "2022-11-01",
        "certification_date": "2022-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TN",
            "license": "3776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "psebastian@hpgtn.com",
            "affiliation": "N",
            "address_1": "516 Uptown Sq",
            "city": "Murfreesboro",
            "state": "TN",
            "country_code": "US",
            "postal_code": "371290589",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lebanon, OH

Sources for this page

Verify at the official NPI Registry.