Active NPI
Elizabeth Jane Van Horn, PSY.D
- Psychologist
- Raleigh, NC
National Provider Identifier
1558559955
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 3667
- Practice address
- 111 Windel Dr
Suite 213
Raleigh, NC 27609-4475 - Phone
- (919) 904-4651
- Fax
- (888) 789-5440
- NPI assigned
- Oct 10, 2007
- Last updated
- Mar 29, 2012
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 3667 | NC | Primary |
Addresses
Primary practice location
111 Windel Dr
Suite 213
Raleigh, NC 27609-4475
Mailing address
111 Windel Drive
Suite 213
Raleigh, NC 27609
Phone (919) 904-4651
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Dec 20, 2016 through Dec 20, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3667 | NC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Carolina Neuropsychiatry, P.a. | Psychologist | Past | Accepting new patients |
| Cloyd Psychological Services, PLLC | Psychologist | Past | Accepting new patients |
Organizations & group practices 2
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.
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Psychologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1332979200000",
"number": "1558559955",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 WINDEL DRIVE",
"address_2": "SUITE 213",
"city": "RALEIGH",
"state": "NC",
"postal_code": "27609",
"telephone_number": "919-904-4651",
"fax_number": "888-789-5440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 WINDEL DR",
"address_2": "SUITE 213",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276094475",
"telephone_number": "919-904-4651",
"fax_number": "888-789-5440"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAN HORN",
"first_name": "ELIZABETH",
"middle_name": "JANE",
"name_prefix": "Dr.",
"credential": "PSY.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-10-10",
"last_updated": "2012-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NC",
"license": "3667",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2012; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.