Individual provider Active NPI

Gerald Paul Elovitz, D.ED.

  • Clinical Neuropsychologist
  • Cotuit, MA
National Provider Identifier
1881666733
Registry record updated Dec 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
2591 Issued in MA
Practice address
1860 Santuit-Newtown Rd
Cotuit, MA 02635-2509
Phone
(508) 420-9989
NPI assigned
Feb 5, 2006
Last updated
Dec 4, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040604000840 MA Practitioner - Clinical Psychologist 1456246578 Reassigns benefits to 1 organization

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
Limbic Resources IncGroup PAC ID 8325359151, 12 clinicians

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

LicenseStateTypeSpecialty
PS00396RIMDClinical Neuropsychologist

Practice roles

OrganizationSpecialtyStatusNew 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.

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

Verify at the official NPI Registry.