Active NPI
Joan Elliott, PSYD
- Psychologist
- Palm Springs, CA
National Provider Identifier
1811160682
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY 19491
- Practice address
- 1900 E Tahquitz Canyon Way
Suite C-3
Palm Springs, CA 92262-7024 - Phone
- (760) 898-3036
- NPI assigned
- Apr 11, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY 19491 | CA | Primary |
Addresses
Primary practice location
1900 E Tahquitz Canyon Way
Suite C-3
Palm Springs, CA 92262-7024
Mailing address
1900 E Tahquitz Canyon Way
Suite C-3
Palm Springs, CA 92262-7024
Phone (760) 898-3036
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DQ980A | Other | CA | PTAN |
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 |
|---|---|---|---|
| PSY 19491 | CA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1312848000000",
"number": "1811160682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1900 E TAHQUITZ CANYON WAY",
"address_2": "SUITE C-3",
"city": "PALM SPRINGS",
"state": "CA",
"postal_code": "922627024",
"telephone_number": "760-898-3036"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1900 E TAHQUITZ CANYON WAY",
"address_2": "SUITE C-3",
"city": "PALM SPRINGS",
"state": "CA",
"postal_code": "922627024",
"telephone_number": "760-898-3036"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELLIOTT",
"first_name": "JOAN",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-04-11",
"last_updated": "2011-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY 19491",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN",
"identifier": "DQ980A",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Palm Springs, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.