Individual provider Active NPI

Elizabeth S Koschmann, PHD

  • Psychologist
  • Ann Arbor, MI
National Provider Identifier
1487782728
Registry record updated Jul 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
6301014838 Issued in MI
Practice address
311 Montgomery Ave
Ann Arbor, MI 48103-4114
Phone
(503) 805-2434
NPI assigned
Feb 28, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 6301014838 MI Primary

Addresses

Primary practice location

311 Montgomery Ave
Ann Arbor, MI 48103-4114

Mailing address

311 Montgomery Ave
Ann Arbor, MI 48103-4114
Phone (503) 805-2434

Other names 1

  • Mrs. Elizabeth S Feldman Other 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
6301014838MIMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438300800000",
    "number": "1487782728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 MONTGOMERY AVE",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481034114",
            "telephone_number": "503-805-2434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 MONTGOMERY AVE",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481034114",
            "telephone_number": "503-805-2434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSCHMANN",
        "first_name": "ELIZABETH",
        "middle_name": "S",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-28",
        "last_updated": "2015-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301014838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "FELDMAN",
            "middle_name": "S",
            "prefix": "MRS.",
            "credential": "PHD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2015; 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.