Active NPI
Elizabeth Vail Roberts, PSYD
- Clinical Neuropsychologist
- Lenox, MA
National Provider Identifier
1184013427
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- 012490
- Practice address
- 69 Church St Ste 4
Lenox, MA 01240-2540 - Phone
- (413) 274-2393
- Fax
- (413) 353-5006
- NPI assigned
- Jan 9, 2015
- Last updated
- Mar 23, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | 012490 | NY | Primary |
Addresses
Primary practice location
69 Church St Ste 4
Lenox, MA 01240-2540
Mailing address
PO Box 306
West Stockbridge, MA 01266-0306
Phone (413) 274-2393
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4783 | MA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elizabeth Roberts Psychology, P.C. | Current | Accepting new patients | |
| Williamstown Behavioral Health Associates | Past | Accepting new patients | |
| Siracusa Associates Behavioral Health LLC | Past | Accepting new patients | |
| Eriver Neurology of New York. LLC | Past | Accepting new patients |
Locations
69 Church St
Ste 4
Lenox, MA 01240
Phone (413) 274-2393
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/HJIAAA
Organizations & group practices 4
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.
-
- Psychologist
- Lenox, MA
- NPI 1053060103
-
- Community/Behavioral Health Agency
- Williamstown, MA
- NPI 1629529011
-
dba Sullivan Associates Behavioral Health
- Psychologist
- North Adams, MA
- NPI 1417023672
-
dba eRiver Neurology of NY LLC
- Neurology Physician
- Fishkill, NY
- NPI 1811064520
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1420761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647993600000",
"number": "1184013427",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 306",
"city": "WEST STOCKBRIDGE",
"state": "MA",
"postal_code": "012660306",
"telephone_number": "413-274-2393",
"fax_number": "413-353-5006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "69 CHURCH ST STE 4",
"city": "LENOX",
"state": "MA",
"postal_code": "012402540",
"telephone_number": "413-274-2393",
"fax_number": "413-353-5006"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTS",
"first_name": "ELIZABETH",
"middle_name": "VAIL",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-01-09",
"last_updated": "2022-03-23",
"certification_date": "2022-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "NY",
"license": "012490",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lenox, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.