Active NPI
Elizabeth Marie Conrad, PSY.D.
- Clinical Psychologist
National Provider Identifier
1740665132
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 071009100
- Practice address
- 4 Treachers Lane
Havelock North, HAWKES BAY 41300
NZ - Phone
- (027) 203-9493
- NPI assigned
- Jul 27, 2015
- Last updated
- Dec 29, 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 | 071009100 | IL | Primary |
Addresses
Primary practice location
4 Treachers Lane
Havelock North, HAWKES BAY 41300
NZ
Mailing address
22 Caxton Street
Napier, NEW ZEALAND 41100
NZ
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3038 | OR | MD | Pediatric Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oak Park Behavioral Medicine LLC | Clinical | Past | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinical Psychologist
- Oak Park, IL
- NPI 1003161225
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672272000000",
"number": "1740665132",
"addresses": [
{
"country_code": "NZ",
"country_name": "New Zealand",
"address_purpose": "MAILING",
"address_type": "FGN",
"address_1": "22 CAXTON STREET",
"city": "NAPIER",
"state": "NEW ZEALAND",
"postal_code": "41100"
},
{
"country_code": "NZ",
"country_name": "New Zealand",
"address_purpose": "LOCATION",
"address_type": "FGN",
"address_1": "4 TREACHERS LANE",
"city": "HAVELOCK NORTH",
"state": "HAWKES BAY",
"postal_code": "41300",
"telephone_number": "027-203-9493"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONRAD",
"first_name": "ELIZABETH",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-27",
"last_updated": "2022-12-29",
"certification_date": "2022-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IL",
"license": "071009100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.