Individual provider Active NPI

Elizabeth Malvina Hemley, DRS

  • Clinical Psychologist
  • Amherst, MA
National Provider Identifier
1700992104
Registry record updated Nov 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2095 Issued in MA
Practice address
409 Main St Ste 109
Amherst, MA 01002-2351
Phone
(413) 256-6004
Fax
(413) 256-4571
NPI assigned
Aug 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 2095 MA Primary

Addresses

Primary practice location

409 Main St Ste 109
Amherst, MA 01002-2351

Mailing address

27 Tamarack Dr
Amherst, MA 01002-2620
Phone (413) 256-6004

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20100909000168 MA Practitioner - Clinical Psychologist 9133244585 Practice locations: Amherst, MA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

12 Dickinson St
Amherst, MA 01002-2310
Phone (413) 256-6004

27 Tamarack Dr
Amherst, MA 01002-2620

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2095MAMDCase Manager/Care Coordinator

NPI Registry JSON

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542240000000",
    "number": "1700992104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 TAMARACK DR",
            "city": "AMHERST",
            "state": "MA",
            "postal_code": "010022620",
            "telephone_number": "413-256-6004",
            "fax_number": "413-256-4571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 MAIN ST STE 109",
            "city": "AMHERST",
            "state": "MA",
            "postal_code": "010022351",
            "telephone_number": "413-256-6004",
            "fax_number": "413-256-4571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEMLEY",
        "first_name": "ELIZABETH",
        "middle_name": "MALVINA",
        "credential": "DRS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-21",
        "last_updated": "2018-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "2095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amherst, MA

Sources for this page

Verify at the official NPI Registry.