Active NPI
Courtney Jill Elson, PSYD
- Psychologist
- Warren, MI
National Provider Identifier
1750526745
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 6301016230
- Practice address
- 14036 Stephens Rd
Warren, MI 48089-2211 - Phone
- (248) 952-8308
- NPI assigned
- Dec 5, 2008
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 6774 | NC | |
| Clinical Psychologist | 103TC0700X | 071.007581 | IL | |
| Psychologist | 103T00000X | 6301016230 | MI | Primary |
Addresses
Primary practice location
14036 Stephens Rd
Warren, MI 48089-2211
Mailing address
14036 Stephens Rd
Warren, MI 48089-2211
Phone (248) 952-8308
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 |
|---|---|---|---|
| 6301016230 | MI | MD | Psychologist |
| 071.007581 | IL | MD | Clinical Psychologist |
| 6774 | NC | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1228435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756944000000",
"number": "1750526745",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14036 STEPHENS RD",
"city": "WARREN",
"state": "MI",
"postal_code": "480892211",
"telephone_number": "248-952-8308"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14036 STEPHENS RD",
"city": "WARREN",
"state": "MI",
"postal_code": "480892211",
"telephone_number": "248-952-8308"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELSON",
"first_name": "COURTNEY",
"middle_name": "JILL",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-12-05",
"last_updated": "2025-09-04",
"certification_date": "2025-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NC",
"license": "6774",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IL",
"license": "071.007581",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MI",
"license": "6301016230",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Warren, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.