Individual provider Active NPI

Emma Woods Nathanson, PH.D.

  • Psychologist
  • Erie, PA
National Provider Identifier
1700430170
Registry record updated Oct 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PS020003 Issued in PA
Practice address
1373 W 6TH St
Erie, PA 16505-2503
Phone
(814) 612-4141
NPI assigned
Jul 24, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 6352000564 MI
Psychologist 103T00000X 6362002863 MI
Student in an Organized Health Care Education/Training Program 390200000X 6352000564 MI
Psychologist 103T00000X PS020003 PA Primary

Addresses

Primary practice location

1373 W 6TH St
Erie, PA 16505-2503

Mailing address

3505 Ellsworth Ave
Erie, PA 16508-2140
Phone (814) 566-7744

Other practice location 1

43155 Main St Ste 2300
Novi, MI 48375-1781
Phone (734) 323-4897

Other practice location 2

500 E Washington St Ste 100
Ann Arbor, MI 48104-2057
Phone (734) 764-3471

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
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
6352000564MIMDPsychologist
6362002863MIMDPsychologist
PS020003PAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Julie a. Galvin, PH.D., PLLC Psychologist PastSince Jul 28, 2019 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.

NPI Registry JSON

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

{
    "created_epoch": "1563926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697414400000",
    "number": "1700430170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3505 ELLSWORTH AVE",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165082140",
            "telephone_number": "814-566-7744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1373 W 6TH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165052503",
            "telephone_number": "814-612-4141"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "43155 Main St Ste 2300",
            "address_purpose": "LOCATION",
            "city": "Novi",
            "state": "MI",
            "postal_code": "483751781",
            "country_code": "US",
            "telephone_number": "734-323-4897",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 E Washington St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Ann Arbor",
            "state": "MI",
            "postal_code": "481042057",
            "country_code": "US",
            "telephone_number": "734-764-3471",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NATHANSON",
        "first_name": "EMMA",
        "middle_name": "WOODS",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-24",
        "last_updated": "2023-10-16",
        "certification_date": "2023-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6352000564",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6362002863",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MI",
            "license": "6352000564",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS020003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.