ELISE MIDDLETON
NPI 1619377611
Psychologist in Richmond, CA

Active since August 26, 2014PECOS EnrolledAccepts Medicare Assignment
4101 MACDONALD AVE, RICHMOND, CA 94805(510) 412-9200 Get Directions Write a Review

NPPES record last updated: August 18, 2016. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Elise Middleton NPPES

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

ELISE MIDDLETON (NPI 1619377611) is an individual psychologist in Richmond, California and active in the NPI registry since August 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1619377611
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameELISE MIDDLETON
Location Address4101 MACDONALD AVERichmond, CA 94805-2333
Mailing Address4101 Macdonald AveRichmond, CA 94805-2333 · (510) 412-9200
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateAugust 26, 2014
Last NPPES UpdateAugust 18, 2016
✔ NPI 1619377611 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
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.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedCounselor · SchoolTaxonomy 101YS0200X
4101 MACDONALD AVE, Richmond, CA 94805

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Elise Middleton is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9133657703
PECOS Enrollment IDI20250109002742
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Elise Middleton reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Psychiatry
827 BROADWAY, SUITE 300
Oakland, CA 94607
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Mark David Levine MD Professional Corporation
  • 329 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Marriage & Family Therapist
4101 MACDONALD AVE
RICHMOND, CA 94805
Social Worker (Clinical)
4101 MACDONALD AVE
RICHMOND, CA 94805
Counselor (Mental Health)
4101 MACDONALD AVE
RICHMOND, CA 94805
Counselor
4101 MACDONALD AVE
RICHMOND, CA 94805
Counselor
4101 MACDONALD AVE
RICHMOND, CA 94805
Marriage & Family Therapist
4101 MACDONALD AVE
RICHMOND, CA 94805
Counselor
4101 MACDONALD AVE
RICHMOND, CA 94805
Marriage & Family Therapist
4101 MACDONALD AVE
RICHMOND, CA 94805

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 Elise Middleton's NPI number?

The NPI number for Elise Middleton is 1619377611. It was assigned to this individual provider in the NPPES registry on August 26, 2014.

Where is Elise Middleton located?

Elise Middleton practices at 4101 Macdonald Ave, Richmond, CA 94805. The listed phone number is (510) 412-9200.

What is Elise Middleton's specialty?

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

Is Elise Middleton enrolled in Medicare?

Yes. Elise Middleton is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Elise Middleton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elise Middleton reassigns Medicare benefits to Mark David Levine, MD Oakland PC (Oakland, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Elise Middleton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Elise Middleton was last updated on August 18, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.