Sue N Elkind, PH.D.
Individual provider Active NPI Psychologist · Orinda, CA
NPI 1992877955 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1992877955
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychologist 103T00000X
- License
- PSY3351 (CA)
- Practice address
- 8 Orinda Way
Orinda, CA 94563-2519 - Phone
- (925) 254-7411
- Fax
- (925) 254-5824
- NPI assigned
- Nov 14, 2006
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY3351 | CA | MD | Psychologist |
| 3351 | CA | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY3351 | CA | Yes |
Addresses
Primary practice location
8 Orinda Way
Orinda, CA 94563-2519
Mailing address
617 Ironbark Cir
Orinda, CA 94563-2423
Phone (925) 254-7411
Other providers in Orinda, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.