DR. ELISHEVA DAN PHD
NPI 1063566339
Psychologist - Clinical in Brookline, MA
About Dr. Elisheva Dan Phd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. ELISHEVA DAN PHD (NPI 1063566339) is an individual clinical provider in Brookline, Massachusetts, licensed in Massachusetts (7240) and active in the NPI registry since January 2007. She has opted out of Medicare through July 1, 2028 and remains eligible to order and refer.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Dr. Elisheva Dan Phd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 1, 2018 through July 1, 2028.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 02446 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Elisheva Dan's NPI number?
The NPI number for Elisheva Dan is 1063566339. It was assigned to this individual provider in the NPPES registry on January 23, 2007.
Where is Elisheva Dan located?
Elisheva Dan practices at 1415 Beacon St Suite #304, Brookline, MA 02446. The listed phone number is (617) 738-0780.
What is Elisheva Dan's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is Elisheva Dan enrolled in Medicare?
No. Elisheva Dan has opted out of Medicare through July 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.
What insurance does Elisheva Dan accept?
Health plans from Anthem Blue Cross and Blue Shield list Elisheva Dan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Elisheva Dan was last updated on November 1, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Elisheva Dan, PHD · NPI 1063566339
Clinical provider in Brookline, Massachusetts. Individual provider, active in the CMS NPPES registry since January 23, 2007.
## Identity
- **NPI:** 1063566339 (Entity type: Individual)
- **Enumerated:** January 23, 2007
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **State license:** 7240 (Massachusetts)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1415 BEACON ST, SUITE #304, Brookline, MA 02446-4816
- **Phone:** (617) 738-0780 · **Fax:** (617) 566-9314
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through July 1, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** November 1, 2011
- **Other identifiers:** Medicare PIN W50883 (MA); Medicare PIN AP1893 (MA)
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Source: [NPI Profile](https://npiprofile.com/npi/1063566339) · Data from the CMS NPPES public registry.