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Dr. Michael J Eltz , PhD

Psychologist β€’ Providence, RI

Active NPI 1639131360 Individual Practitioner Male Practitioner
Practice location in NPPES

340 Broadway
Providence, RI 029091102

Call 4017147440 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

340 Broadway

Providence, RI 029091102

Telephone 4017147440
Fax 4014897207
Organization at the Same NPPES Address or Phone
Jeffrey D Hughes, Psyd Llc Facility NPI 1649591611

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2006

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Eltz has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Eltz as eligible to order or refer Medicare Part B clinical laboratory and imaging services and durable medical equipment (DME) for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Providence and Rhode Island

122 active clinicians are listed under Psychologist with a practice address in Providence, RI (245 in Rhode Island).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Providence

4.9% of these 122 clinicians have the CMS telehealth indicator.

11.5% of these 122 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-09-25
Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

License # reported to NPPES RI PS00748

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Community/Behavioral Health

NUCC Taxonomy Code: 251S00000X

License # reported to NPPES RI PS00748

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

Residential Treatment Facility, Emotionally Disturbed Children

NUCC Taxonomy Code: 322D00000X

A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Rhode Island State Medical Licensing Board.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
ME37214 (RI)

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - CLINICAL PSYCHOLOGIST

Medicare Enrollment ID

I20080123000915

Enrollment State Jurisdiction

RI

PECOS Control ID

2365524758

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Not Eligible
Power Mobility Devices (PMD) Not Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location September 25, 2024

Registered at 340 BROADWAY, PROVIDENCE, RI 029091102 (Tel: 4017147440)

πŸ“
Updated Business Mailing Address September 25, 2024

Registered at 31 KILBURN AVE, LINCOLN, RI 028652129 (Tel: 4017147440)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 25, 2024

Community/Behavioral Health (license number reported to NPPES: RI PS00748)

βœ…
NPI Profile Active February 20, 2008

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) February 20, 2008

Registered at 765 ALLENS AVE, PROVIDENCE, RI 029055443 (Tel: 4017147440)

πŸ“
Business Mailing Address (Initial Record) February 20, 2008

Registered at 27 KNOWLES ST, LINCOLN, RI 028653301 (Tel: 4017147440)

πŸ‘€
Provider Name / Credentials (Initial Record) February 20, 2008

Recorded as MICHAEL ELTZ, PH.D.

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 20, 2008

Psychologist (license number reported to NPPES: RI PS00748)

🟒
Initial NPI Registration & Enumeration April 06, 2006

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1639131360
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 06, 2006
Last Update: September 25, 2024
Sole Proprietor: Yes

Other Psychologists in Providence

All Psychologists in Providence

Mailing Address

31 Kilburn Ave

Lincoln, RI 028652129

Phone: 4017147440

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.