Active NPI
M. Elizabeth Stokes, PSY.D.
- Clinical Psychologist
- Philadelphia, PA
National Provider Identifier
1609810035
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PS 008624-L
- Practice address
- 1528 Walnut St
Suite 1706
Philadelphia, PA 19102-3604 - Phone
- (215) 266-4066
- Fax
- (215) 893-9350
- NPI assigned
- Jun 15, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PS 008624-L | PA | Primary |
| Psychologist | 103T00000X | PS 008624-L | PA |
Addresses
Primary practice location
1528 Walnut St
Suite 1706
Philadelphia, PA 19102-3604
Mailing address
1528 Walnut St
Suite 1706
Philadelphia, PA 19102-3604
Phone (215) 266-4066
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060719000071 | PA | Practitioner - Clinical Psychologist | 6103839014 | Practice locations: Bala Cynwyd, PA; Philadelphia, PA |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1 Bala Ave
Suite 110
Bala Cynwyd, PA 19004-3207
Phone (215) 266-4066
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS 008624-L | PA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1308009600000",
"number": "1609810035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1528 WALNUT ST",
"address_2": "SUITE 1706",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191023604",
"telephone_number": "215-266-4066",
"fax_number": "215-893-9350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1528 WALNUT ST",
"address_2": "SUITE 1706",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191023604",
"telephone_number": "215-266-4066",
"fax_number": "215-893-9350"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOKES",
"first_name": "M. ELIZABETH",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-15",
"last_updated": "2011-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PA",
"license": "PS 008624-L",
"primary": true
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "PA",
"license": "PS 008624-L",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2011; 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.