Individual provider Active NPI

Elissa Stieglitz, PH.D,

  • Clinical Psychologist
  • Bethesda, MD
National Provider Identifier
1851935589
Registry record updated Nov 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
02921 Issued in MD
Practice address
4915 Elm St
Bethesda, MD 20814-2905
Phone
(301) 229-0063
NPI assigned
Nov 6, 2019
Last updated
Nov 6, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2019

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 02921 MD Primary

Addresses

Primary practice location

4915 Elm St
Bethesda, MD 20814-2905

Mailing address

4915 Saint Elmo Ave
Bethesda, MD 20814-6019
Phone (301) 229-0063

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Bethesda

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jul 17, 2024 through Jul 17, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
02921MDMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1572998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572998400000",
    "number": "1851935589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4915 SAINT ELMO AVE",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208146019",
            "telephone_number": "301-229-0063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4915 ELM ST",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208142905",
            "telephone_number": "301-229-0063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STIEGLITZ",
        "first_name": "ELISSA",
        "name_prefix": "Dr.",
        "credential": "PH.D,",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-06",
        "last_updated": "2019-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MD",
            "license": "02921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Bethesda",
            "affiliation": "N",
            "address_1": "4915 Elm St",
            "city": "Bethesda",
            "state": "MD",
            "country_code": "US",
            "postal_code": "208142905",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

Verify at the official NPI Registry.