Petra Alice Elder, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

04084 Issued in MD

Practice address

7013-A Brookville Road
Chevy Chase, MD 20815-3263

Phone

(301) 951-5666

NPI assigned

Mar 20, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jul 1, 2016 through Jul 1, 2028

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1942325683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10805 TORRANCE DR",
            "city": "KENSINGTON",
            "state": "MD",
            "postal_code": "208952800",
            "telephone_number": "301-789-1031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7013-A BROOKVILLE ROAD",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208153263",
            "telephone_number": "301-951-5666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELDER",
        "first_name": "PETRA",
        "middle_name": "ALICE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MD",
            "license": "04084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica M Eichorn, PT
• Bonnie Sheila Eisenberg, CLINICAL PSYCHOLOGIS
• Daniel Eisenberg, AUD
• Sarah Arielle Elazar
• Eda Elbirlik, D.D.S.
• Elissa Driban and Associates, LLC
• Elliot R Goldstein MD & Joel R Schulman MD PA (Physician Associates)
• Mona Ellis, M.D.
• Jeffrey Alan Elting, MD MPH
• Katelyn Marie Engbert, NP

• Clinical Psychologist in Chevy Chase, MD
• Providers in Chevy Chase, MD by specialty
• Clinical Psychologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.