DR. ELIZABETH CLARK DOOLING MD NPI 1689647026

NPI Information

NPI: 1689647026
Provider Name: DR. ELIZABETH CLARK DOOLING, MD
Classification: Psychiatry & Neurology - 2084N0402X
Entity Type: Individual

Specialization: Neurology with Special Qualifications in Child Neurology

PECOS Registration: Yes

Address:
55 FRUIT ST
WANG ACC 720
BOSTON, MA
ZIP 02114
Phone: (617) 726-3877
Get Directions

DR. Elizabeth Clark Dooling, MD is a neurology with special qualifications in child neurology psychiatry neurology in Boston, MA. The provider is a Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. DR. Elizabeth Clark Dooling, MD NPI is 1689647026. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

55 FRUIT ST
WANG ACC 720
BOSTON, MA
ZIP 02114-621
Phone: (617) 726-3877
Fax: (617) 724-7860

The NPI 1689647026 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/8/2006 and was last updated on 8/27/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208000000X	Pediatrics		29710	MASSACHUSETTS	No
2	2084N0402X	Psychiatry & Neurology	Neurology with Special Qualifications in Child Neurology	29710	MASSACHUSETTS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	A66036	MEDICARE UPIN
2	700930	OTHER	MASSACHUSETTS	TUFTS HEALTH PLAN
3	M08166	OTHER	MASSACHUSETTS	BCBS MA
4	11034MGH	OTHER	MASSACHUSETTS	HARVARD PILGRIM HEALTHCARE
5	M08166	MEDICARE ID-TYPE UNSPECIFIED	MASSACHUSETTS
6	110002667/B	MEDICAID	MASSACHUSETTS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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