Dr. Michael J Eltz, PHD
Psychologist in Providence, Rhode Island
1639131360- Practice location
- 340 Broadway, Providence, RI 02909-1102
- Phone
- 401-714-7440
- Fax
- 401-489-7207
- Last updated
- September 25, 2024
Michael J Eltz is a Psychologist based in Providence, RI. Michael J Eltz practices in Providence, RI and has the professional credentials of PHD. The NPI Number for Michael J Eltz is 1639131360 and holds a License No. PS00748 (RI). The current practice location address for Michael J Eltz is 340 Broadway, Providence, RI 02909-1102 and can be reached out via phone at 401-714-7440 and via fax at 401-489-7207.
Provider Profile Details
- NPI Number
- 1639131360
- Provider Name
- Michael J Eltz
- Credential
- PHD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 340 Broadway, Providence, RI 02909-1102
- Phone Number
- 401-714-7440
- Fax Number
- 401-489-7207
- Primary Taxonomy
- Psychologist · 103T00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- April 6, 2006
- Last Update Date
- September 25, 2024
- Certification Date
- September 25, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 340 Broadway
Providence, RI 02909-1102 - City
- Providence
- State
- Rhode Island
- Zip
- 02909-1102
- Phone Number
- 401-714-7440
- Fax Number
- 401-489-7207
Provider Business Mailing Address Details
- Address
- 31 Kilburn Ave
Lincoln, RI 02865-2129 - City
- Lincoln
- State
- RI
- Zip
- 02865-2129
- Phone Number
- 401-714-7440
- Fax Number
- 401-490-2619
License Information
- License Number (1)
- PS00748
- License State (1)
- RI
- Taxonomy (1)
- Community/Behavioral Health · 251S00000X
- Taxonomy (2)
- Residential Treatment Facility, Emotionally Disturbed Children · 322D00000X
- License Number (3)
- PS00748
- License State (3)
- RI
- Taxonomy (3)
- Psychologist · 103T00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. Michael J Eltz, PHD?
The NPI number of Dr. Michael J Eltz, PHD is 1639131360. It was assigned on April 6, 2006 and is currently active in the NPPES registry.
What is the specialty of Dr. Michael J Eltz, PHD?
Dr. Michael J Eltz, PHD is registered under the primary taxonomy Psychologist (code 103T00000X), licensed in RI under license number PS00748.
Where does Dr. Michael J Eltz, PHD practice?
The practice location is 340 Broadway, Providence, RI 02909-1102. The office can be reached at 401-714-7440 (phone) or 401-489-7207 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1639131360 directly on the NPPES registry website.