Active NPI
Elizabeth Ellen Hathaway, M.D.
- Psychiatry Physician
- West Lafayette, IN
National Provider Identifier
1902331846
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 01085661A
- Practice address
- 1241 Cumberland Ave Ste C
West Lafayette, IN 47906-1304 - Phone
- (317) 207-9833
- NPI assigned
- Apr 28, 2017
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 01085661A | IN | Primary |
Addresses
Primary practice location
1241 Cumberland Ave Ste C
West Lafayette, IN 47906-1304
Mailing address
1241 Cumberland Ave Ste C
West Lafayette, IN 47906-1304
Other practice location 1
355 W 16th St Ste 2364
Indianapolis, IN 46202-2279
Phone (317) 963-7307
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: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- University of Cincinnati College of Medicine, 2016
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
355 W 16TH St
Suite 2364
Indianapolis, IN 46202-2279
PO Box
Suite 781076
Detroit, MI 48278
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Interoperability endpoints
- ehathaway@direct.iuhealth.org
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Crawfordsville, IN
- NPI 1588774558
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1493337600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772409600000",
"number": "1902331846",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1241 CUMBERLAND AVE STE C",
"city": "WEST LAFAYETTE",
"state": "IN",
"postal_code": "479061304"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1241 CUMBERLAND AVE STE C",
"city": "WEST LAFAYETTE",
"state": "IN",
"postal_code": "479061304",
"telephone_number": "317-207-9833"
}
],
"practiceLocations": [
{
"address_1": "355 W 16th St Ste 2364",
"address_purpose": "LOCATION",
"city": "Indianapolis",
"state": "IN",
"postal_code": "462022279",
"country_code": "US",
"telephone_number": "317-963-7307",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HATHAWAY",
"first_name": "ELIZABETH",
"middle_name": "ELLEN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-04-28",
"last_updated": "2026-03-02",
"certification_date": "2026-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "IN",
"license": "01085661A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Lafayette, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2026; 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.