Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1639131360 Individual Practitioner Male Practitioner

Dr. Michael J Eltz , PhD

Psychologist • Providence, RI

Professional Overview & Biography Verified Profile Summary

Dr. Michael Eltz, PhD is a registered healthcare professional specializing in Psychologist in Providence, RI. Practice services are available at 340 BROADWAY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

340 Broadway

Providence, RI 029091102

Telephone 4017147440
Fax 4014897207
Associated Practice Facility / Clinic
🏢 Jeffrey D Hughes, Psyd Llc Facility NPI 1649591611

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Providence, RI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 19.7 Yrs
State Avg: 33.6 Yrs
Regional Practice Density
124 Specialists

Practicing in Providence, RI (255 Statewide)

Telehealth Adoption Rate
4.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-09-25
Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License 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

State License 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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
ME37214 (RI)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Victoria Cabral , LCSW

Social Worker - Clinical

NPI 1306736830

Licensed Clinical Social Worker

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location September 25, 2024

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

📍
Updated Business Mailing Address September 25, 2024

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

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

Community/Behavioral Health (License #PS00748 in RI)

NPI Profile Active February 20, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location February 20, 2008

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

📍
Updated Business Mailing Address February 20, 2008

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

👤
Provider Name / Credentials Updated February 20, 2008

Recorded as MICHAEL ELTZ, PH.D.

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

Psychologist (License #PS00748 in RI)

🟢
Initial NPI Registration & Enumeration April 06, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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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

Mailing Address

31 Kilburn Ave

Lincoln, RI 028652129

Phone: 4017147440

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.