Individual provider Active NPI

Elizabeth C Loula, M.D.

  • Psychiatry Physician
  • Brookline, MA
National Provider Identifier
1801843578
Registry record updated Nov 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
75094 Issued in MA
Practice address
43 Columbia St
Brookline, MA 02446-2407
Phone
(617) 730-8120
NPI assigned
May 28, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 75094 MA Primary

Addresses

Primary practice location

43 Columbia St
Brookline, MA 02446-2407

Mailing address

43 Columbia St
Brookline, MA 02446-2407
Phone (617) 730-8120

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: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120221000447 MA Practitioner - Psychiatry 8123286218 Practice locations: Northampton, MA

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

49 Lyman Rd
Northampton, MA 01060-4248
Phone (617) 877-1165

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731024000000",
    "number": "1801843578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 COLUMBIA ST",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024462407",
            "telephone_number": "617-730-8120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 COLUMBIA ST",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024462407",
            "telephone_number": "617-730-8120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOULA",
        "first_name": "ELIZABETH",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-28",
        "last_updated": "2024-11-08",
        "certification_date": "2024-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "75094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookline, MA

Sources for this page

Verify at the official NPI Registry.