ELIZABETH CANICK MD
NPI 1285738708
Psychologist in Brighton, MA

Active since September 13, 2006Opted out of Medicare · through Feb 20, 2028
77 WARREN ST, BRIGHTON, MA 02135(617) 562-5567(617) 562-5564 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Elizabeth Canick Md NPPES

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

ELIZABETH CANICK MD (NPI 1285738708) is an individual psychologist in Brighton, Massachusetts, licensed in Massachusetts (4302) and active in the NPI registry since September 2006. She has opted out of Medicare through February 20, 2028.

NPPES Registry Identity

NPI1285738708
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameELIZABETH CANICKCredential: MD
Location Address77 WARREN STBrighton, MA 02135-3601
Mailing Address77 Warren St Fl 3Brighton, MA 02135-3601 · (617) 562-5485 · Fax (617) 562-5415
Fax(617) 562-5564
Sole ProprietorNo
Enumeration DateSeptember 13, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1285738708 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in MA · 4302
Definition
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.
77 WARREN ST, Brighton, MA 02135

Other Identifiers 1

Medicare ID-Type UnspecifiedW04245MA

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

Elizabeth Canick Md 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 February 20, 2024 through February 20, 2028.

Opt-Out Effective DateFebruary 20, 2024
Opt-Out In Effect ThroughFebruary 20, 2028Opt-out affidavits renew automatically every two years unless cancelled

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.

Registered Nurse
77 WARREN ST
BRIGHTON, MA 02135
Licensed Practical Nurse
77 WARREN ST
BRIGHTON, MA 02135
Licensed Practical Nurse
77 WARREN ST
BRIGHTON, MA 02135
Licensed Practical Nurse
77 WARREN ST
BRIGHTON, MA 02135
Counselor (Addiction (Substance Use Disorder))
77 WARREN ST
BRIGHTON, MA 02135
Specialist
77 WARREN ST
BRIGHTON, MA 02135
Licensed Practical Nurse
77 WARREN ST
BRIGHTON, MA 02135
Dermatology (MOHS-Micrographic Surgery)
77 WARREN ST, STE 353
BRIGHTON, MA 02135

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 Elizabeth Canick's NPI number?

The NPI number for Elizabeth Canick is 1285738708. It was assigned to this individual provider in the NPPES registry on September 13, 2006.

Where is Elizabeth Canick located?

Elizabeth Canick practices at 77 Warren St, Brighton, MA 02135. The listed phone number is (617) 562-5567.

What is Elizabeth Canick's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Elizabeth Canick enrolled in Medicare?

No. Elizabeth Canick has opted out of Medicare through February 20, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Elizabeth Canick accept?

Health plans from Harvard Pilgrim Health Care list Elizabeth Canick 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 Elizabeth Canick was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.