Active NPI
Elizabeth Tsakiris, PH.D
- Psychologist
- Damascus, MD
National Provider Identifier
1407307481
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- #05156
- Practice address
- 26601 Clarksburg Rd
Damascus, MD 20872-1546 - Phone
- (301) 540-0265
- NPI assigned
- Oct 14, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | #05156 | MD | Primary |
| Clinical Psychologist | 103TC0700X | #05156 | MD |
Addresses
Primary practice location
26601 Clarksburg Rd
Damascus, MD 20872-1546
Mailing address
26601 Clarksburg Rd
Damascus, MD 20872-1546
Phone (301) 540-0265
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)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| #05156 | MD | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1476403200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476403200000",
"number": "1407307481",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26601 CLARKSBURG RD",
"city": "DAMASCUS",
"state": "MD",
"postal_code": "208721546",
"telephone_number": "301-540-0265"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26601 CLARKSBURG RD",
"city": "DAMASCUS",
"state": "MD",
"postal_code": "208721546",
"telephone_number": "301-540-0265"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TSAKIRIS",
"first_name": "ELIZABETH",
"name_prefix": "Dr.",
"credential": "PH.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-10-14",
"last_updated": "2016-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MD",
"license": "#05156",
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MD",
"license": "#05156",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Damascus, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.