Individual provider Active NPI

Elizabeth M Scanlon, PHD

  • Clinical Psychologist
  • Beverly Hills, FL
National Provider Identifier
1306936372
Registry record updated Mar 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
891 Issued in NH
Practice address
107 S Lucille St
Beverly Hills, FL 34465-4225
Phone
(321) 343-1175
Fax
(855) 399-8331
NPI assigned
Oct 13, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 4999 MA
Clinical Psychologist 103TC0700X 891 NH Primary

Addresses

Primary practice location

107 S Lucille St
Beverly Hills, FL 34465-4225

Mailing address

107 S Lucille St
Beverly Hills, FL 34465-4225
Phone (321) 343-1175

Other identifiers 5

IdentifierTypeStateIssuer
1306936372OtherNHINDIVIDUAL NPI
1912079443OtherNHGROUP NPI
27210OtherNHPTAN
30421468MedicaidNH
0609214YONH02OtherBCBS BHN NH VT MA CT

Other names 1

  • Dr. Elizabeth Mary Lachapelle Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH, GA, CT, DC, MA, FL, CA, AZ, OR, MI, IA, RI12 enrollments
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 12

Enrollment IDStateProvider typePAC IDDetails
I20031201000058 NH Practitioner - Clinical Psychologist 5092610451 Reassigns benefits to 1 organization
I20250306003348 GA Practitioner - Clinical Psychologist 5092610451 Reassigns benefits to 1 organization
I20250307002973 CT Practitioner - Clinical Psychologist 5092610451 Reassigns benefits to 1 organization
I20250307003291 DC Practitioner - Clinical Psychologist 5092610451 Reassigns benefits to 1 organization
I20250310001498 MA Practitioner - Clinical Psychologist 5092610451 Reassigns benefits to 1 organization
I20250311002849 FL Practitioner - Clinical Psychologist 5092610451 Reassigns benefits to 1 organization
I20250313003387 CA Practitioner - Clinical Psychologist 5092610451 Reassigns benefits to 1 organization
I20250313003581 AZ Practitioner - Clinical Psychologist 5092610451 Reassigns benefits to 1 organization
I20250313003776 OR Practitioner - Clinical Psychologist 5092610451 Reassigns benefits to 1 organization
I20250314000217 MI Practitioner - Clinical Psychologist 5092610451 Reassigns benefits to 1 organization
I20250314000300 IA Practitioner - Clinical Psychologist 5092610451 Reassigns benefits to 1 organization
I20260413003490 RI Practitioner - Clinical Psychologist 5092610451 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

66 E Flagler St
Miami, FL 33130-1807

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4999MAMDClinical Psychologist
891NHMDClinical Psychologist
3945ORMDNutrition Chiropractor
32116CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PC Clinical CurrentSince Feb 13, 2025 Accepting new patients
Grow Healthcare Group PA CurrentSince Feb 7, 2025 Accepting new patients

Locations

4600 E Washington St
Ste 300
Phoenix, AZ 85034
Phone (602) 638-1872

99 Almaden Blvd
Ste 600
San Jose, CA 95113
Phone (408) 402-4385

100 Pearl St
Fl 14
Hartford, CT 06103
Phone (860) 421-6636

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

715 Peachtree St NE
Ste 100
Atlanta, GA 30308
Phone (202) 972-4964

699 Walnut St
Ste 4
Des Moines, IA 50309
Phone (515) 278-9920

100 Cambridge St
Fl 14
Boston, MA 02114
Phone (617) 917-2389

250 Monroe Ave NW
Ste 400
Grand Rapids, MI 49503
Phone (616) 441-4616

170 Commerce Way
Ste 200
Portsmouth, NH 03801
Phone (201) 293-7689

10260 SW Greenburg Rd
Fl 4
Tigard, OR 97223
Phone (503) 405-9338

8300 Boone Blvd
Ste 500
Vienna, VA 22182
Phone (703) 884-2598

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773273600000",
    "number": "1306936372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 S LUCILLE ST",
            "city": "BEVERLY HILLS",
            "state": "FL",
            "postal_code": "344654225",
            "telephone_number": "321-343-1175",
            "fax_number": "855-399-8331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 S LUCILLE ST",
            "city": "BEVERLY HILLS",
            "state": "FL",
            "postal_code": "344654225",
            "telephone_number": "321-343-1175",
            "fax_number": "855-399-8331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCANLON",
        "first_name": "ELIZABETH",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-13",
        "last_updated": "2026-03-12",
        "certification_date": "2026-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "4999",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NH",
            "license": "891",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1306936372",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1912079443",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "27210",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30421468",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS BHN NH VT MA CT",
            "identifier": "0609214YONH02",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "LACHAPELLE",
            "middle_name": "MARY",
            "prefix": "DR.",
            "credential": "PHD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Beverly Hills, FL

Sources for this page

Verify at the official NPI Registry.