Individual provider Active NPI

Elana Rosencrantz, PSYD

  • Psychologist
  • Seattle, WA
National Provider Identifier
1679867055
Registry record updated Mar 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY60271806 Issued in WA
Practice address
1812 E Madison St
Suite 102
Seattle, WA 98122-2843
Phone
(206) 313-6795
NPI assigned
Jun 3, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 23, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LH60215201 WA
Psychologist 103T00000X PY60271806 WA Primary

Addresses

Primary practice location

1812 E Madison St
Suite 102
Seattle, WA 98122-2843

Mailing address

1812 E Madison St
Seattle, WA 98122-2843
Phone (206) 313-6795

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, NJ2 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

Enrollment IDStateProvider typePAC IDDetails
I20150319002762 WA Practitioner - Clinical Psychologist 5890012447 Practice locations: Seattle, WA; Renton, WA
I20190211001018 NJ Practitioner - Clinical Psychologist 5890012447 Practice locations: Teaneck, NJ

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

764 Palisade Ave
Suite 1D
Teaneck, NJ 07666-3129
Phone (206) 313-6795

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
LH60215201WAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1307059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427068800000",
    "number": "1679867055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1812 E MADISON ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981222843",
            "telephone_number": "206-313-6795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1812 E MADISON ST",
            "address_2": "SUITE 102",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981222843",
            "telephone_number": "206-313-6795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENCRANTZ",
        "first_name": "ELANA",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-03",
        "last_updated": "2015-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60215201",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WA",
            "license": "PY60271806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.