Elizabeth Lauren Coursen, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

022448 Issued in NY

Practice address

828 Federal Rd Ste B
Brookfield, CT 06804-1847

Phone

(800) 237-0397

NPI assigned

Jul 6, 2009

Last updated

Jul 15, 2024By 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 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NY, CT2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Clinical Psychologist

Education

Other, 2012

Medicare assignment

May accept Medicare assignment

Group practices

Hiaah PCGroup PAC ID 9234589763, 10 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

93.85 of 100Reported as group

Quality

80.43

Improvement activities

40

Cost

82.04

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Hiaah PC

  • Mental Health Counselor
  • Brookfield, CT
  • NPI 1891434577

  NY

  Medicare reassignment Care Compare group NPD
• Supportive Care Psychology of Ny PC

  • Clinical Psychologist
  • Howell, NJ
  • NPI 1104315068

  NY

  Medicare reassignment NPD

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

{
    "created_epoch": "1246838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1548499015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152 EAST ST FL 1",
            "city": "NORTH GRANBY",
            "state": "CT",
            "postal_code": "060601514",
            "telephone_number": "860-861-1156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "828 FEDERAL RD STE B",
            "city": "BROOKFIELD",
            "state": "CT",
            "postal_code": "068041847",
            "telephone_number": "800-237-0397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COURSEN",
        "first_name": "ELIZABETH",
        "middle_name": "LAUREN",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-06",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CT",
            "license": "3361",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "022448",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CT",
            "license": "219348",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eugenia Ann Corriero, PA-C
• David Costa, PT
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• Costco Wholesale Corporation
• Cross Roads Counseling, LLC
• Laura M Crumpton
• Shona Curtis, LCSW
• Patricia Susan D'Angelo, LCSW
• Jessica Rose Dacosta, APRN, AGNP

• Clinical Psychologist in Brookfield, CT
• Providers in Brookfield, CT by specialty
• Clinical Psychologist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2024; 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.

Verify at the official NPI Registry.