Individual provider Active NPI

Elizabeth Leary Hart, PH.D.

  • Psychologist
  • Birmingham, AL
National Provider Identifier
1831381870
Registry record updated Sep 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
1710 Issued in AL
Practice address
200 Oslo Cir
Birmingham, AL 35211-5937
Phone
(205) 944-3944
NPI assigned
Aug 14, 2007
Last updated
Sep 7, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 7, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Child & Adolescent Psychologist 103TC2200X 001930 CT
Psychologist 103T00000X 1710 AL Primary

Addresses

Primary practice location

200 Oslo Cir
Birmingham, AL 35211-5937

Mailing address

405 Belcher St
Centreville, AL 35042-2946
Phone (205) 926-2992

Other practice location 1

211 Montowese St
Branford, CT 06405-3879
Phone (203) 488-5949

Other names 1

  • Dr. Elizabeth Leary Hart Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20130221000493 AL Practitioner - Clinical Psychologist 7618122763 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
001930CTMDProfessional Counselor
1710ALMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Cahaba Medical Care Foundation CurrentSince Aug 12, 2022 Accepting new patients
Cahaba Medical Care Foundation CurrentSince Aug 12, 2022 Accepting new patients

Locations

200 Oslo Cir
Birmingham, AL 35211
Phone (205) 944-3944

195 Hospital Dr
Centreville, AL 35042
Phone (205) 225-7455

405 Belcher St
Centreville, AL 35042
Phone (205) 926-4694

Interoperability endpoints

  • Direct secure messaging: elizabeth.hart.1@11347.direct.athenahealth.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1187049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662508800000",
    "number": "1831381870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 BELCHER ST",
            "city": "CENTREVILLE",
            "state": "AL",
            "postal_code": "350422946",
            "telephone_number": "205-926-2992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 OSLO CIR",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352115937",
            "telephone_number": "205-944-3944"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "211 Montowese St",
            "address_purpose": "LOCATION",
            "city": "Branford",
            "state": "CT",
            "postal_code": "064053879",
            "country_code": "US",
            "telephone_number": "203-488-5949",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HART",
        "first_name": "ELIZABETH",
        "middle_name": "LEARY",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-14",
        "last_updated": "2022-09-07",
        "certification_date": "2022-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "CT",
            "license": "001930",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "AL",
            "license": "1710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "HART",
            "middle_name": "LEARY",
            "prefix": "DR.",
            "credential": "PH.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.