Individual provider Active NPI

Elizabeth A Sorenson, PH.D.

  • Clinical Psychologist
  • Ann Arbor, MI
National Provider Identifier
1275667263
Registry record updated May 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6301008589 Issued in MI
Practice address
24 Frank Lloyd Wright Dr Ste L2200
Ann Arbor, MI 48105
Phone
(734) 930-4020
Fax
(734) 769-8948
NPI assigned
Mar 14, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2019

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 6301008589 MI Primary

Addresses

Primary practice location

24 Frank Lloyd Wright Dr Ste L2200
Ann Arbor, MI 48105

Mailing address

24 Frank Lloyd Wright Dr Ste L2200
Ann Arbor, MI 48105-9484
Phone (734) 930-4020

Other practice location 1

3300 Washtenaw Ave
Ann Arbor, MI 48104-4200
Phone (734) 417-7450

Other practice location 2

3300 Washtenaw Ave
Ann Arbor, MI 48104-4200
Phone (734) 417-7450

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110722000694 MI Practitioner - Clinical Psychologist 5991973653 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Emmaus Health PartnersGroup PAC ID 6204237365, 11 clinicians

Practice addresses (Care Compare)

24 Frank Lloyd Wright Dr
Ann Arbor, MI 48105-9484
Phone (734) 930-4020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
6301008589MIMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Emmaus Health Partners Psychologist CurrentSince May 29, 2021 Accepting new patients
Mary J Belongea PastSince Apr 6, 2025 Accepting new patients
Elizabeth a Sorenson PHD Clinical PastSince May 2, 2011 Accepting new patients

Locations

24 Frank Lloyd Wright Dr
Ann Arbor, MI 48105
Phone (734) 930-7400

Interoperability endpoints

  • Direct secure messaging: elizabeth.sorenson.1@11144.direct.athenahealth.com
  • Direct secure messaging: elizabeth.sorenson.2@11144.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/11144/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556668800000",
    "number": "1275667263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 FRANK LLOYD WRIGHT DR STE L2200",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481059484",
            "telephone_number": "734-930-4020",
            "fax_number": "734-769-8948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 FRANK LLOYD WRIGHT DR STE L2200",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "48105",
            "telephone_number": "734-930-4020",
            "fax_number": "734-769-8948"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3300 Washtenaw Ave",
            "address_purpose": "LOCATION",
            "city": "Ann Arbor",
            "state": "MI",
            "postal_code": "481044200",
            "country_code": "US",
            "telephone_number": "734-417-7450",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3300 Washtenaw Ave",
            "address_purpose": "LOCATION",
            "city": "Ann Arbor",
            "state": "MI",
            "postal_code": "481044200",
            "country_code": "US",
            "telephone_number": "734-417-7450",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SORENSON",
        "first_name": "ELIZABETH",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-14",
        "last_updated": "2019-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301008589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

Verify at the official NPI Registry.