Active NPI
Elizabeth Spitzer, PHD
- Clinical Psychologist
- Pittsfield, MA
National Provider Identifier
1730819434
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 0810007695
- Practice address
- 82 Wendell Ave Ste 100
Pittsfield, MA 01201-7066 - Phone
- (617) 682-0463
- NPI assigned
- Jun 15, 2022
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 0810007695 | VA | Primary |
Addresses
Primary practice location
82 Wendell Ave Ste 100
Pittsfield, MA 01201-7066
Mailing address
82 Wendell Ave Ste 100
Pittsfield, MA 01201-7066
Phone (617) 682-0463
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Apr 11, 2025 through Apr 11, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0810007695 | VA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655251200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664496000000",
"number": "1730819434",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "82 WENDELL AVE STE 100",
"city": "PITTSFIELD",
"state": "MA",
"postal_code": "012017066",
"telephone_number": "617-682-0463"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "82 WENDELL AVE STE 100",
"city": "PITTSFIELD",
"state": "MA",
"postal_code": "012017066",
"telephone_number": "617-682-0463"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPITZER",
"first_name": "ELIZABETH",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-15",
"last_updated": "2022-09-30",
"certification_date": "2022-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "VA",
"license": "0810007695",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pittsfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2022; 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.