Individual provider Active NPI

Elizabeth Grace Verbeck, PH.D.

  • Clinical Psychologist
  • Marlborough, MA
National Provider Identifier
1295047900
Registry record updated Oct 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
11146 Issued in MA
Practice address
56 Framingham Rd
Marlborough, MA 01752-3260
Phone
(508) 481-8077
Fax
(508) 481-6680
NPI assigned
Jul 10, 2010
Last updated
Oct 4, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2021

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 11146 MA Primary

Addresses

Primary practice location

56 Framingham Rd
Marlborough, MA 01752-3260

Mailing address

56 Framingham Rd
Marlborough, MA 01752-3260
Phone (508) 481-8077

Other names 1

  • Elizabeth Grace Priest Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20211021001520 MA Practitioner - Clinical Psychologist 9638567803 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Child and Family Psychological Services PLLCGroup PAC ID 5991763823, 260 clinicians

Practice addresses (Care Compare)

89 Access Rd
Suite 24
Norwood, MA 02062-5233
Phone (781) 551-0999

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11146MAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Child and Family Psychological Services, PLLC Clinical CurrentSince Nov 8, 2021 Accepting new patients
Jri PastSince Oct 10, 2021 Accepting new patients

Locations

110 Hartwell Ave
Ste 330
Lexington, MA 02421
Phone (617) 852-1334

89 Access Rd
Ste 24
Norwood, MA 02062
Phone (781) 336-5040

169 Libbey Park
Weymouth, MA 02189
Phone (508) 238-7766

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1278720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633305600000",
    "number": "1295047900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 FRAMINGHAM RD",
            "city": "MARLBOROUGH",
            "state": "MA",
            "postal_code": "017523260",
            "telephone_number": "508-481-8077",
            "fax_number": "508-481-6680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 FRAMINGHAM RD",
            "city": "MARLBOROUGH",
            "state": "MA",
            "postal_code": "017523260",
            "telephone_number": "508-481-8077",
            "fax_number": "508-481-6680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERBECK",
        "first_name": "ELIZABETH",
        "middle_name": "GRACE",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-10",
        "last_updated": "2021-10-04",
        "certification_date": "2021-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "11146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "PRIEST",
            "middle_name": "GRACE",
            "credential": "M.A.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Marlborough, MA

Sources for this page

Verify at the official NPI Registry.