Active NPI
Elizabeth A Tulou, MA PSYCHOLOGY
- Psychologist
- Sylva, NC
National Provider Identifier
1669588703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 0559
- Practice address
- 186 Medical Park Loop
Suite 502
Sylva, NC 28779-5222 - Phone
- (828) 586-5555
- Fax
- (828) 586-5555
- NPI assigned
- Aug 22, 2006
- 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 | 0559 | NC | Primary |
Addresses
Primary practice location
186 Medical Park Loop
Suite 502
Sylva, NC 28779-5222
Mailing address
186 Medical Park Loop
Suite 502
Sylva, NC 28779-5222
Phone (828) 586-5555
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 046FY | Other | NC | BCBS |
| 6107169 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0559 | NC | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sylva Clinical Associates, PA | Psychologist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Psychologist
- Sylva, NC
- NPI 1326140609
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1669588703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "186 MEDICAL PARK LOOP",
"address_2": "SUITE 502",
"city": "SYLVA",
"state": "NC",
"postal_code": "287795222",
"telephone_number": "828-586-5555",
"fax_number": "828-586-5555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "186 MEDICAL PARK LOOP",
"address_2": "SUITE 502",
"city": "SYLVA",
"state": "NC",
"postal_code": "287795222",
"telephone_number": "828-586-5555",
"fax_number": "828-586-5555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TULOU",
"first_name": "ELIZABETH",
"middle_name": "A",
"name_prefix": "Ms.",
"credential": "MA PSYCHOLOGY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NC",
"license": "0559",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "046FY",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6107169",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sylva, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.