Individual provider Active NPI

Elysha Greenberg, PSYD

  • Psychologist
  • Somerville, MA
National Provider Identifier
1982121240
Registry record updated May 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Practice address
240 Elm St FL 2
Somerville, MA 02144-2935
Phone
(617) 339-9070
NPI assigned
Aug 28, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X MA Primary

Addresses

Primary practice location

240 Elm St FL 2
Somerville, MA 02144-2935

Mailing address

240 Elm St FL 2
Somerville, MA 02144-2935
Phone (617) 339-9070

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Mar 6, 2025 through Mar 6, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10667MAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Balance & Perspective Counseling, PLLC Psychologist Current Accepting new patients

Locations

240 Elm St
Fl 2
Somerville, MA 02144
Phone (617) 339-9070

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1503878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683244800000",
    "number": "1982121240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 ELM ST FL 2",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021442935",
            "telephone_number": "617-339-9070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 ELM ST FL 2",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021442935",
            "telephone_number": "617-339-9070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENBERG",
        "first_name": "ELYSHA",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-28",
        "last_updated": "2023-05-05",
        "certification_date": "2023-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerville, MA

Sources for this page

Verify at the official NPI Registry.