Active NPI
Elizabeth Marie Klish, PSY.D.
- Psychologist
- Springfield, MA
National Provider Identifier
1730378795
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 9316
- Practice address
- 155 Maple St
Suite 203
Springfield, MA 01105-1828 - Phone
- (413) 734-3331
- NPI assigned
- Oct 16, 2007
- 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 | 9316 | MA | Primary |
Addresses
Primary practice location
155 Maple St
Suite 203
Springfield, MA 01105-1828
Mailing address
155 Maple St
Suite 203
Springfield, MA 01105-1828
Phone (413) 734-3331
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Sep 24, 2020 through Sep 24, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9316 | MA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elizabeth Klish, PSYD, LLC | Current | 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.
-
- Adult Mental Health Clinic/Center
- Natick, MA
- NPI 1053925420
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192492800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1297036800000",
"number": "1730378795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "155 MAPLE ST",
"address_2": "SUITE 203",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011051828",
"telephone_number": "413-734-3331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "155 MAPLE ST",
"address_2": "SUITE 203",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011051828",
"telephone_number": "413-734-3331"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLISH",
"first_name": "ELIZABETH",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-10-16",
"last_updated": "2011-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MA",
"license": "9316",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Springfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.