Elizabeth Leary Hart, PH.D.
Individual provider Active NPI Psychologist · Birmingham, AL
NPI 1831381870 · NPPES record last updated Sep 7, 2022
Key facts
- NPI
- 1831381870
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychologist 103T00000X
- License
- 1710 (AL)
- Practice address
- 200 Oslo Cir
Birmingham, AL 35211-5937 - Phone
- (205) 944-3944
- NPI assigned
- Aug 14, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130221000493 | AL | Practitioner - Clinical Psychologist | 7618122763 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001930 | CT | MD | Optician |
| 1710 | AL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cahaba Medical Care Foundation | Current |
Accepting new patients | |
| Cahaba Medical Care Foundation | Current |
Accepting new patients |
Locations
200 Oslo Cir
Birmingham, AL 35211
Phone (205) 944-3944
405 Belcher St
Centreville, AL 35042
Phone (205) 926-4694
195 Hospital Dr
Centreville, AL 35042
Phone (205) 225-7455
Interoperability endpoints
- elizabeth.hart.1@11347.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Child & Adolescent Psychologist | 103TC2200X | 001930 | CT | |
| Psychologist | 103T00000X | 1710 | AL | Yes |
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
- Dr. Elizabeth Leary Hart
Other providers in Birmingham, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 7, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.