Elise Susanne Ginsburg, PHD.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

3125 Issued in CO

Practice address

255 Canyon Blvd
Suite 200
Boulder, CO 80302-4979

Phone

(303) 945-5311

Fax

(720) 638-3699

NPI assigned

Feb 18, 2008

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

Other names 1

• Dr. Elise Ginsburg Stevens Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1203292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461196800000",
    "number": "1942478425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 CANYON BLVD STE 200",
            "address_2": "SUITE 200",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803024954",
            "telephone_number": "303-945-5311",
            "fax_number": "720-638-3699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 CANYON BLVD",
            "address_2": "SUITE 200",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803024979",
            "telephone_number": "303-945-5311",
            "fax_number": "720-638-3699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GINSBURG",
        "first_name": "ELISE",
        "middle_name": "SUSANNE",
        "name_prefix": "Dr.",
        "credential": "PHD.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-18",
        "last_updated": "2016-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "3125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELISE",
            "last_name": "STEVENS",
            "middle_name": "GINSBURG",
            "prefix": "DR.",
            "credential": "PH.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kirby Odawa Gillispie
• Gina Diane Gills, MSW, LCSW
• Eliza Gilmore, LPC
• Tennyson Layne Gilpatrick, PT,DPT
• Bernadette Ann Gimpel, LMFT
• Steven Michael Gioielli, PSYD
• John Gipple, MA, CAC III
• Igor Giusti, MA, ABD, CAC I
• William Logan Gladney
• Sharon M Glass, NNP

• Clinical Psychologist in Boulder, CO
• Providers in Boulder, CO by specialty
• Clinical Psychologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2016; 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.