Elisabeth Dahl, PSY.D.

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

License

6301015802 Issued in MI

Practice address

7086 8TH Ave
Jenison, MI 49428-9352

Phone

(616) 667-9551

NPI assigned

Sep 9, 2009

Last updated

Jan 4, 2019By the provider in NPPES

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1252454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546560000000",
    "number": "1508199589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2378 WOODLAKE DR STE 280",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488646016",
            "telephone_number": "517-706-0421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7086 8TH AVE",
            "city": "JENISON",
            "state": "MI",
            "postal_code": "494289352",
            "telephone_number": "616-667-9551"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2378 Woodlake Dr Ste 280",
            "address_purpose": "LOCATION",
            "city": "Okemos",
            "state": "MI",
            "postal_code": "488646016",
            "country_code": "US",
            "telephone_number": "517-706-0421",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAHL",
        "first_name": "ELISABETH",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-09",
        "last_updated": "2019-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "MI",
            "license": "6301015802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Curie
• Janette D Curtis, LLP
• Kimberly Curtis
• Wendi Cuson
• Stephen Mitchael Dadd, DDS
• Daniel D Seitz DDS PC
• Nicholas Ruben Debernardi, PH. D.
• Kyler Ross Debruyn
• Brian J Decker, MD
• Emma Deglopper

• Clinical Child & Adolescent Psychologist in Jenison, MI
• Providers in Jenison, MI by specialty
• Clinical Child & Adolescent Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2019; 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.