Courtney Beard Elias

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

9658 Issued in MA

Legal business name

COURTNEY BEARD ELIAS

Practice address

115 Mill St
Mailbox 113
Belmont, MA 02478-1064

Phone

(617) 855-3557

NPI assigned

Jul 20, 2016

Organization subpart

No

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

Authorized official

Name

Courtney Beard Elias, PHDNPI 1588978316

Title

Owner

Phone

(678) 520-7260

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Courtney Beard Elias, PH.D.

  • Clinical Psychologist
  • Belmont, MA
  • NPI 1588978316
  NPD (past) Authorized official

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

{
    "created_epoch": "1468972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468972800000",
    "number": "1972956464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 MILL ST",
            "address_2": "MAILBOX 113",
            "city": "BELMONT",
            "state": "MA",
            "postal_code": "024781064",
            "telephone_number": "617-855-3557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 MILL ST",
            "address_2": "MAILBOX 113",
            "city": "BELMONT",
            "state": "MA",
            "postal_code": "024781064",
            "telephone_number": "617-855-3557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COURTNEY BEARD ELIAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-20",
        "last_updated": "2016-07-20",
        "status": "A",
        "authorized_official_last_name": "ELIAS",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_middle_name": "BEARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-520-7260",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "9658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marc Louis Copersino, PH.D.
• Allison Corman, LICSW
• Evelyn Anne Corsini, M.S.W., L.I.C.S.W.
• Lorraine Viola Corso, PSY.D.
• Joan Martha Cottler, LICSW
• Ann Cousins, PHD, PMHCNS-BC
• Carol W. Coutu, PH.D.
• Robert George Coutu, PH.D.
• Joseph T Coyle, M.D.
• Shelby Crane

• Clinical Psychologist in Belmont, MA
• Providers in Belmont, MA by specialty
• Clinical Psychologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.