Ori Elis, PHD

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

31081 Issued in CA

Practice address

5625 College Ave Ste 212
Oakland, CA 94618-1585

Phone

(510) 854-0415

NPI assigned

Apr 12, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1649721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649721600000",
    "number": "1790427409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5625 COLLEGE AVE STE 212",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946181585",
            "telephone_number": "510-854-0415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5625 COLLEGE AVE STE 212",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946181585",
            "telephone_number": "510-854-0415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELIS",
        "first_name": "ORI",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-12",
        "last_updated": "2022-04-12",
        "certification_date": "2022-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "CA",
            "license": "31081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amina Elfiki, LMFT
• Matthew Addicus Elgin, LMFT
• Rebecca L. Elia, MD
• Judith V Eliachar, M.A.
• Emily Eliash
• Elisa Kim
• Elisa L Kuo DDS, Inc
• Dianne Elise, PSY 12309
• Elite Medical Transport
• Elite Medical Transport Inc.

• Clinical Neuropsychologist in Oakland, CA
• Providers in Oakland, CA by specialty
• Clinical Neuropsychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 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.

Verify at the official NPI Registry.