Matthew Rogers Elliott, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

7494 Issued in MA

Practice address

5 Edgell Road
Suite 23
Framingham, MA 01701

Phone

(598) 793-3363

NPI assigned

May 23, 2007

Reactivated

Nov 26, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385424000000",
    "number": "1912117334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "377 SINGLETARY LN",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "017026128",
            "telephone_number": "508-875-2236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 EDGELL ROAD",
            "address_2": "SUITE 23",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "01701",
            "telephone_number": "598-793-3363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIOTT",
        "first_name": "MATTHEW",
        "middle_name": "ROGERS",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-23",
        "last_updated": "2013-11-26",
        "deactivation_date": "2007-07-17",
        "reactivation_date": "2013-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MA",
            "license": "7494",
            "primary": true
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "MA",
            "license": "7494",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "MA",
            "license": "7494",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robin Sue Eliasberg, D.M.D.
• Lilianne Elicier, MA
• Anner B. Eliot, PH.D.
• Patricia Elisnord-Ehiabhi, PSYD
• Barry Elliott
• Elizabeth V Ellis, RN
• Maiya Ellis
• Elmtree ABA Services, LLC
• Rebecca Ann Elstad, NP
• Soheyla Emami, M.D.

• Psychologist in Framingham, MA
• Providers in Framingham, MA by specialty
• Psychologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.