Brent David Elwood, PH.D.

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

PS1100 Issued in ME

Practice address

125 Cutler Health Center
University of Maine
Orono, ME 04469-5721

Phone

(207) 581-1392

Fax

(207) 581-4975

NPI assigned

Jan 9, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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

• In Context Psychotherapy & Consultation, P.C.

  • Counseling Psychologist
  • Bangor, ME
  • NPI 1073389888

  Counseling

  NPD Authorized official

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

{
    "created_epoch": "1199836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199836800000",
    "number": "1851576862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 CUTLER HEALTH CENTER",
            "address_2": "UNIVERSITY OF MAINE",
            "city": "ORONO",
            "state": "ME",
            "postal_code": "044695721",
            "telephone_number": "207-581-1392",
            "fax_number": "207-581-4975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 CUTLER HEALTH CENTER",
            "address_2": "UNIVERSITY OF MAINE",
            "city": "ORONO",
            "state": "ME",
            "postal_code": "044695721",
            "telephone_number": "207-581-1392",
            "fax_number": "207-581-4975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELWOOD",
        "first_name": "BRENT",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-09",
        "last_updated": "2008-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "ME",
            "license": "PS1100",
            "primary": true
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "ME",
            "license": "PS1100",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Orono, ME
• Counseling Psychologist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.