Organization Active NPI

Elizabeth a. Waites, Psychologist P. C.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Ann Arbor, MI
National Provider Identifier
1184846255
Registry record updated Dec 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
6301001241 Issued in MI
Legal business name
ELIZABETH A. WAITES, PSYCHOLOGIST P. C.
Practice address
2002 Hogback Rd Ste 15
Ann Arbor, MI 48105-9736
Phone
(734) 662-7312
NPI assigned
May 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2011

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

Authorized official

Name
Dr. Elizabeth Angeline Waites, PH.D.
Title
Licensed Psychologist
Phone
(734) 662-7312

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 6301001241 MI Primary

Addresses

Primary practice location

2002 Hogback Rd Ste 15
Ann Arbor, MI 48105-9736

Mailing address

1075 Barton Dr Apt 114
Ann Arbor, MI 48105-1260
Phone (734) 662-7312

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323129600000",
    "number": "1184846255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1075 BARTON DR APT 114",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481051260",
            "telephone_number": "734-662-7312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2002 HOGBACK RD STE 15",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481059736",
            "telephone_number": "734-662-7312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIZABETH A. WAITES, PSYCHOLOGIST P. C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-02",
        "last_updated": "2011-12-06",
        "status": "A",
        "authorized_official_last_name": "WAITES",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "ANGELINE",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "734-662-7312",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "MI",
            "license": "6301001241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 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.