Individual provider Active NPI

Elvira Anselmi, PH.D.

  • Clinical Psychologist
  • Summit, NJ
National Provider Identifier
1841474129
Registry record updated Oct 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
35SI00388800 Issued in NJ
Practice address
151 Summit Avenue, Ste. 1
Summit, NJ 07901-2813
Phone
(201) 400-4972
NPI assigned
Dec 23, 2007
Last updated
Oct 27, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 27, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 35SI00388800 NJ Primary

Addresses

Primary practice location

151 Summit Avenue, Ste. 1
Summit, NJ 07901-2813

Mailing address

151 Summit Avenue, Ste. 1
Summit, NJ 07901-2813
Phone (201) 400-4972

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20050518000040 NJ Practitioner - Clinical Psychologist 2466493705 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

236 Washington Ave
Kenilworth, NJ 07033-1132

74 Forest Way
Morris Plains, NJ 07950-3266
Phone (201) 400-4972

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Elvira Anselmi, PHD, PC Clinical CurrentSince Apr 1, 2005 Accepting new patients

Locations

239 New Rd
Ste A317
Parsippany, NJ 07054
Phone (201) 400-4972

151 Summit Ave
Ste 1
Summit, NJ 07901
Phone (201) 400-4972

Organizations & group practices 1

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": "1198368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445904000000",
    "number": "1841474129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 SUMMIT AVENUE, STE. 1",
            "city": "SUMMIT",
            "state": "NJ",
            "postal_code": "079012813",
            "telephone_number": "201-400-4972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 SUMMIT AVENUE, STE. 1",
            "city": "SUMMIT",
            "state": "NJ",
            "postal_code": "079012813",
            "telephone_number": "201-400-4972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANSELMI",
        "first_name": "ELVIRA",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-23",
        "last_updated": "2015-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "35SI00388800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Summit, NJ

Sources for this page

Verify at the official NPI Registry.