Active NPI
Gerald Paul Elovitz, D.ED.
- Clinical Neuropsychologist
- Cotuit, MA
National Provider Identifier
1881666733
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- 2591
- Practice address
- 1860 Santuit-Newtown Rd
Cotuit, MA 02635-2509 - Phone
- (508) 420-9989
- NPI assigned
- Feb 5, 2006
- Last updated
- Dec 4, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | 2591 | MA | Primary |
| Clinical Neuropsychologist | 103G00000X | PS00396 | RI |
Addresses
Primary practice location
1860 Santuit-Newtown Rd
Cotuit, MA 02635-2509
Mailing address
1860 Santuit-Newtown Rd
Cotuit, MA 02635-2509
Phone (508) 420-9989
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Pennsylvania State University College of Medicine, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
119 Cedar St
Hyannis, MA 02601-3011
Phone (774) 470-4535
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS00396 | RI | MD | Clinical Neuropsychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Limbic Resources | Clinical Neuropsychologist | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Mental Health Counselor
- East Falmouth, MA
- NPI 1063899060
-
dba The Memory Center
- Clinical Neuropsychologist
- Cotuit, MA
- NPI 1922213628
-
dba The Memory and Attention Center
- Clinical Neuropsychologist
- W Hyannisport, MA
- NPI 1164537049
-
- Clinical Neuropsychologist
- Cotuit, MA
- NPI 1235434804
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139097600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196726400000",
"number": "1881666733",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1860 SANTUIT-NEWTOWN RD",
"city": "COTUIT",
"state": "MA",
"postal_code": "026352509",
"telephone_number": "508-420-9989"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1860 SANTUIT-NEWTOWN RD",
"city": "COTUIT",
"state": "MA",
"postal_code": "026352509",
"telephone_number": "508-420-9989"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELOVITZ",
"first_name": "GERALD",
"middle_name": "PAUL",
"name_prefix": "Dr.",
"credential": "D.ED.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-05",
"last_updated": "2007-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "MA",
"license": "2591",
"primary": true
},
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "RI",
"license": "PS00396",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cotuit, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.