Active NPI
Philip Morrie Elzinga, MA, LLP PSYCHOLOGIST
- Counseling Psychologist
- Holland, MI
National Provider Identifier
1891816468
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 6301012957
- Practice address
- 121 Clover St.
Michigan Works
Holland, MI 49423 - Phone
- (616) 494-3498
- NPI assigned
- Apr 2, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 6301012957 | MI | Primary |
Addresses
Primary practice location
121 Clover St.
Michigan Works
Holland, MI 49423
Mailing address
412 Century Lane
Pathways, Mi
Holland, MI 49423
Phone (616) 396-2301
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6301012957 | MI | MD | Counseling Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1319500800000",
"number": "1891816468",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "412 CENTURY LANE",
"address_2": "PATHWAYS, MI",
"city": "HOLLAND",
"state": "MI",
"postal_code": "49423",
"telephone_number": "616-396-2301",
"fax_number": "616-396-8070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "121 CLOVER ST.",
"address_2": "MICHIGAN WORKS",
"city": "HOLLAND",
"state": "MI",
"postal_code": "49423",
"telephone_number": "616-494-3498"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELZINGA",
"first_name": "PHILIP",
"middle_name": "MORRIE",
"name_prefix": "Mr.",
"credential": "MA, LLP PSYCHOLOGIST",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-02",
"last_updated": "2011-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "MI",
"license": "6301012957",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Holland, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.