ELIZAVETA BOURCHTEIN PHD
NPI 1174142590
Psychologist - Clinical Child & Adolescent in Ann Arbor, MI

Q: What is Elizaveta Bourchtein's NPI number?

The NPI number for Elizaveta Bourchtein is 1174142590. It was assigned to this individual provider in the NPPES registry on April 15, 2020.

Q: What is Elizaveta Bourchtein's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

Active since April 15, 2020

1500 E MEDICAL CENTER DR, ANN ARBOR, MI 48109(734) 936-4000 Get Directions Write a Review

NPPES record last updated: April 14, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 20, 2022, Apr 15, 2020 (2 updates tracked since 2020).

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About Elizaveta Bourchtein Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELIZAVETA BOURCHTEIN PHD (NPI 1174142590) is an individual clinical child & adolescent provider in Ann Arbor, Michigan, licensed in Pennsylvania (PS020427) and active in the NPI registry since April 2020.

NPPES Registry Identity

NPI1174142590

Entity TypeIndividualFemale

Primary Taxonomy103TC2200X

Provider Legal NameELIZAVETA BOURCHTEINCredential: PHD

Location Address1500 E MEDICAL CENTER DRAnn Arbor, MI 48109-5000

Mailing Address3621 S State StAnn Arbor, MI 48108-1633 · (734) 647-5299

Phone(734) 936-4000

Sole ProprietorNo

Enumeration DateApril 15, 2020

Last NPPES UpdateApril 14, 20252 updates tracked since enumeration

NPPES CertifiedApril 9, 2025

✔ NPI 1174142590 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Clinical Child & AdolescentBehavioral Health & Social Service Providers

Taxonomy Code103TC2200X

License✔ Licensed in PA · PS020427

Definition

A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.

1500 E MEDICAL CENTER DR, Ann Arbor, MI 48109

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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.

LOKMAN SUNG MD

Pathology (Forensic Pathology)

1500 E MEDICAL CENTER DR, 2ND FLOOR UNIVERSITY HOSPITAL RECP PATHOLOGY
ANN ARBOR, MI 48109

Washtenaw County (800) 862-7284

SAMEER DEV SAINI M.D.

Internal Medicine (Gastroenterology)

1500 E MEDICAL CENTER DR
ANN ARBOR, MI 48109

Washtenaw County (734) 936-4000

KYLE DAVID PERRY MD

Pathology (Cytopathology)

1500 E MEDICAL CENTER DR
ANN ARBOR, MI 48109

Washtenaw County (734) 936-4000

DR. DAVID ALEXANDER STEWART M.D.

Pediatrics

1500 E MEDICAL CENTER DR, 12TH FLOOR C.S. MOTT CHILDREN'S HOSPITAL ROOM 525
ANN ARBOR, MI 48109

Washtenaw County (734) 763-5302

DR. MICHAEL EDMUND WATSON MD

Pediatrics (Pediatric Infectious Diseases)

1500 E MEDICAL CENTER DR
ANN ARBOR, MI 48109

Washtenaw County (734) 936-4000

CARRIE KRAEGER PORTER PA-C

Physician Assistant

1500 E MEDICAL CENTER DR
ANN ARBOR, MI 48109

Washtenaw County (734) 936-6666

DENISE LYNN BERRY CRNA

Nurse Anesthetist, Certified Registered

1500 E MEDICAL CENTER DR
ANN ARBOR, MI 48109

Washtenaw County (734) 936-4000

KETTI SOPHIA PETERSEN MD

Family Medicine (Hospice and Palliative Medicine)

1500 E MEDICAL CENTER DR
ANN ARBOR, MI 48109

Washtenaw County (734) 936-4000

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 Elizaveta Bourchtein's NPI number?

The NPI number for Elizaveta Bourchtein is 1174142590. It was assigned to this individual provider in the NPPES registry on April 15, 2020.

Where is Elizaveta Bourchtein located?

Elizaveta Bourchtein practices at 1500 E Medical Center Dr, Ann Arbor, MI 48109. The listed phone number is (734) 936-4000.

What is Elizaveta Bourchtein's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

When was this NPI record last updated?

The NPPES record for Elizaveta Bourchtein was last updated on April 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.