Individual provider Active NPI

Elena Orujev, PH.D.

  • Clinical Psychologist
  • Longmeadow, MA
National Provider Identifier
1780780320
Registry record updated Jun 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
8076 Issued in MA
Practice address
171 Dwight Rd
Suite 305-a
Longmeadow, MA 01106-1673
Phone
(413) 754-4200
Fax
(413) 754-4171
NPI assigned
Sep 14, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 8076 MA
Clinical Psychologist 103TC0700X 8076 MA Primary

Addresses

Primary practice location

171 Dwight Rd
Suite 305-a
Longmeadow, MA 01106-1673

Mailing address

171 Dwight Rd
Suite 305-a
Longmeadow, MA 01106-1673
Phone (413) 754-4200

Other identifiers 1

IdentifierTypeStateIssuer
W06435OtherMABCBS PROVIDER ID NUMBER

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
I20050926000129 MA Practitioner - Clinical Psychologist 3779517180 Practice locations: Longmeadow, MA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

171 Dwight Rd
Longmeadow, MA 01106-1700
Phone (413) 754-4200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

NPI Registry JSON

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340755200000",
    "number": "1780780320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 DWIGHT RD",
            "address_2": "SUITE 305-A",
            "city": "LONGMEADOW",
            "state": "MA",
            "postal_code": "011061673",
            "telephone_number": "413-754-4200",
            "fax_number": "413-754-4171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 DWIGHT RD",
            "address_2": "SUITE 305-A",
            "city": "LONGMEADOW",
            "state": "MA",
            "postal_code": "011061673",
            "telephone_number": "413-754-4200",
            "fax_number": "413-754-4171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORUJEV",
        "first_name": "ELENA",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-14",
        "last_updated": "2012-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MA",
            "license": "8076",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "8076",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER ID NUMBER",
            "identifier": "W06435",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Longmeadow, MA

Sources for this page

Verify at the official NPI Registry.