Nancy M. Eldredge, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

1684 Issued in AZ

Practice address

377 S Meyer Ave
Tucson, AZ 85701-2231

Phone

(502) 622-4950

Fax

(520) 622-1227

NPI assigned

Jul 7, 2005

Reactivated

Mar 29, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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.

• Nancy M. Eldredge, PH.D,LLC

  • Mental Health Counselor
  • Tucson, AZ
  • NPI 1508894684
  NPD (past) Authorized official

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184025600000",
    "number": "1538167291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 85684",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857545684",
            "telephone_number": "502-622-4950",
            "fax_number": "520-622-1227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "377 S MEYER AVE",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857012231",
            "telephone_number": "502-622-4950",
            "fax_number": "520-622-1227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELDREDGE",
        "first_name": "NANCY",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-07",
        "last_updated": "2007-07-10",
        "deactivation_date": "2006-03-15",
        "reactivation_date": "2006-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "AZ",
            "license": "1684",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCCCS",
            "identifier": "143694",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Judith Mbokatong Elango, D.M.D
• Antoinette Elbert
• Mohamed Eldemerdash
• Michael Keith Elder, LCSW
• Jennifer M Eldred, FNP
• Shatha Elemian, MD
• Amanda Victoria Elenes
• Elevate Counseling and Consulting PLLC
• Eleventh Hours Fountain of Youth LLC
• Walaa Elfar, MD

• Psychologist in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Psychologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.