Active NPI
Elizabeth Holle Nasser, PH.D.
- Clinical Psychologist
- Northborough, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 8127-PR
- Practice address
- 22 Fairway Dr
Northborough, MA 01532-2072 - Phone
- (508) 259-7684
- Fax
- (508) 393-1903
- NPI assigned
- Jul 9, 2006
- Last updated
- May 24, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 8127-PR | MA | Primary |
Addresses
Primary practice location
22 Fairway Dr
Northborough, MA 01532-2072
Mailing address
22 Fairway Dr
Northborough, MA 01532-2072
Phone (508) 259-7684
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 641611 | Other | MA | TUFTS |
| W06270 | Other | MA | BLUE CROSS BLUE SHIELD |
| 0502731 | Medicaid | MA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
22 Fairway Dr
Northborough, MA 01532-2072
Phone (508) 259-7684
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8127-PR | MA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Golden Insight Inc | Current | Accepting new patients | |
| Pinnacle Health Management, LLP | Current | Accepting new patients | |
| Dr. Rachel Laschever Movitz, Psy.D. | Clinical | Past | Accepting new patients |
| Edgardo C. Angeles, MD & Associates, PC | Past | Accepting new patients | |
| Limbic Resources | Past | Accepting new patients | |
| Centers for Aging and Memory | Clinical | Past | Accepting new patients |
| Dr. Gerald P. Elovitz, P.C. | Past | Accepting new patients |
Locations
105 Webster St
Ste 8
Hanover, MA 02339
Phone (781) 312-7457
Organizations & group practices 7
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.
-
- Geriatric Psychiatry Physician
- Hanover, MA
- NPI 1952319733
-
- Clinical Psychologist
- Shrewsbury, MA
- NPI 1811939473
-
- Psychiatric/Mental Health Nurse Practitioner
- Hanover, MA
- NPI 1235711839
-
dba The Memory Center
- Clinical Neuropsychologist
- Cotuit, MA
- NPI 1922213628
-
dba Geropsychology Consultation Services
- Adult Development & Aging Psychologist
- Ayer, MA
- NPI 1124240734
Clinical
-
- Mental Health Counselor
- Middleboro, MA
- NPI 1144332115
-
dba The Memory and Attention Center
- Clinical Neuropsychologist
- W Hyannisport, MA
- NPI 1164537049
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Taunton, MA
- NPI 1609603877
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152403200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1464048000000",
"number": "1497788582",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 FAIRWAY DR",
"city": "NORTHBOROUGH",
"state": "MA",
"postal_code": "015322072",
"telephone_number": "508-259-7684",
"fax_number": "508-393-1903"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 FAIRWAY DR",
"city": "NORTHBOROUGH",
"state": "MA",
"postal_code": "015322072",
"telephone_number": "508-259-7684",
"fax_number": "508-393-1903"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NASSER",
"first_name": "ELIZABETH",
"middle_name": "HOLLE",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-09",
"last_updated": "2016-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MA",
"license": "8127-PR",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "641611",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "W06270",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0502731",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Northborough, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.