Elizabeth H Fell Dewalt, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

012516 Issued in NY

Practice address

410 W Church St
Elmira, NY 14901

Phone

(607) 737-1235

Fax

(607) 735-9617

NPI assigned

Oct 16, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

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.

• Elizabeth H Fell-Dewalt Psychology PLLC

  • Clinical Psychologist
  • Elmira, NY
  • NPI 1164015392
  NPD Authorized official
• Adult Care Psychology Services, PLLC

  • Clinical Psychologist
  • Flushing, NY
  • NPI 1609935444
  NPD (past)
• Affiliated Psychological Consultants PC

  • Psychologist
  • Elmira, NY
  • NPI 1447348859
  NPD (past)
• Che Senior Psychological Services, PC

  • Clinical Psychologist
  • Brooklyn, NY
  • NPI 1023078219
  NPD (past)

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497845648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 W CHURCH ST",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "14901",
            "telephone_number": "607-737-1235",
            "fax_number": "607-735-9617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 W CHURCH ST",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "14901",
            "telephone_number": "607-737-1235",
            "fax_number": "607-735-9617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELL DEWALT",
        "first_name": "ELIZABETH",
        "middle_name": "H",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "012516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Farnham
• Daniel H Farr, M.D., D.D.S., M.S.
• Danielle Farwell, RN
• Kristin Farwell
• Daniel R Felko, CPHT
• Eileen Feltner, NP
• Henry T Ferguson II
• Sharon Ferguson, NP
• Lisa Ann Ferro
• Alyssa Mae Fervan, MS CCC-SLP

• Psychologist in Elmira, NY
• Providers in Elmira, NY by specialty
• Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.