Individual provider Active NPI

Elena Hontoria Tuerk, PHD

  • Clinical Psychologist
  • Charlottesville, VA
National Provider Identifier
1356645915
Registry record updated Sep 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
0810005951 Issued in VA
Practice address
1 Boars Head LN Ste B-6
Charlottesville, VA 22903-4681
Phone
(434) 230-2233
NPI assigned
Dec 22, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2023

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 0810005951 VA Primary

Addresses

Primary practice location

1 Boars Head LN Ste B-6
Charlottesville, VA 22903-4681

Mailing address

1 Boars Head LN Ste B-6
Charlottesville, VA 22903-4681
Phone (434) 230-2233

Other practice location 1

300 Claremont Ln Ste 103
Crozet, VA 22932-3455
Phone (434) 466-1588

Other practice location 2

417 Emmet St. S
Charlottesville, VA 22903-2424
Phone (434) 924-7034

Other identifiers 1

IdentifierTypeStateIssuer
0810005951OtherVASTATE LICENSING BOARD

Other names 1

  • Elena Hontoria Former name

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
0810005951VAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Evidence-Based Psychotherapy, PLLC Clinical CurrentSince Oct 15, 2023 Accepting new patients
Aligned Clinical & Educational Services Clinical CurrentSince Dec 1, 2019 Accepting new patients

Locations

325 Four Leaf Ln
Ste 12
Charlottesville, VA 22903
Phone (434) 466-1588

1 Boars Head Ln
Ste B6
Charlottesville, VA 22903
Phone (434) 230-2233

300 Claremont Ln
Ste 103
Crozet, VA 22932
Phone (434) 264-7711

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": "1292976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694563200000",
    "number": "1356645915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BOARS HEAD LN STE B-6",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229034681",
            "telephone_number": "434-230-2233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BOARS HEAD LN STE B-6",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229034681",
            "telephone_number": "434-230-2233"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Claremont Ln Ste 103",
            "address_purpose": "LOCATION",
            "city": "Crozet",
            "state": "VA",
            "postal_code": "229323455",
            "country_code": "US",
            "telephone_number": "434-466-1588",
            "fax_number": "866-289-5249",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "417 Emmet St. S",
            "address_purpose": "LOCATION",
            "city": "Charlottesville",
            "state": "VA",
            "postal_code": "229032424",
            "country_code": "US",
            "telephone_number": "434-924-7034",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TUERK",
        "first_name": "ELENA",
        "middle_name": "HONTORIA",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-22",
        "last_updated": "2023-09-13",
        "certification_date": "2023-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810005951",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSING BOARD",
            "identifier": "0810005951",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELENA",
            "last_name": "HONTORIA",
            "credential": "PHD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Charlottesville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2023; 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.