DR. MICHAEL J ELTZ PH.D.
NPI 1639131360
Psychologist in Providence, RI

Active since April 06, 2006PECOS Enrolled
340 BROADWAY, PROVIDENCE, RI 02909(401) 714-7440(401) 489-7207 Get Directions Write a Review

NPPES record last updated: September 25, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Michael J Eltz Ph.d. NPPES

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

DR. MICHAEL J ELTZ PH.D. (NPI 1639131360) is an individual psychologist in Providence, Rhode Island, licensed in Rhode Island (PS00748) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639131360
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDR. MICHAEL J ELTZCredential: PH.D.
Location Address340 BROADWAYProvidence, RI 02909-1102
Mailing Address31 Kilburn AveLincoln, RI 02865-2129 · (401) 714-7440 · Fax (401) 490-2619
Fax(401) 489-7207
Sole ProprietorYes
Enumeration DateApril 6, 2006
Last NPPES UpdateSeptember 25, 2024
NPPES CertifiedSeptember 25, 2024
✔ NPI 1639131360 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License✔ Licensed in RI · PS00748
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 ListedCommunity/Behavioral HealthTaxonomy 251S00000X · License PS00748 (RI)
340 BROADWAY, Providence, RI 02909

Other Identifiers 1

MedicaidME37214RI

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Michael J Eltz Ph.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Michael Eltz reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Clinical
340 BROADWAY
Providence, RI 02909
  • Reassigned Medicare billing, Rhode Island enrollment
  • 3 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 9

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

Psychologist (Clinical)
340 BROADWAY
PROVIDENCE, RI 02909
Social Worker (Clinical)
340 BROADWAY
PROVIDENCE, RI 02909
Social Worker (Clinical)
340 BROADWAY, HILLSIDE AVENUE FAMILY AND COMMUNITY MEDICAL
PROVIDENCE, RI 02909
Counselor (Mental Health)
340 BROADWAY
PROVIDENCE, RI 02909
Psychologist (Clinical)
340 BROADWAY
PROVIDENCE, RI 02909
Psychologist (Clinical)
340 BROADWAY
PROVIDENCE, RI 02909
Social Worker (Clinical)
340 BROADWAY
PROVIDENCE, RI 02909
Psychologist (Clinical)
340 BROADWAY
PROVIDENCE, RI 02909

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 Michael Eltz's NPI number?

The NPI number for Michael Eltz is 1639131360. It was assigned to this individual provider in the NPPES registry on April 6, 2006.

Where is Michael Eltz located?

Michael Eltz practices at 340 Broadway, Providence, RI 02909. The listed phone number is (401) 714-7440.

What is Michael Eltz's specialty?

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

Is Michael Eltz enrolled in Medicare?

Yes. Michael Eltz is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Michael Eltz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Eltz reassigns Medicare benefits to Community Counseling Partnerships LLC (Providence, RI). 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 Michael Eltz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Eltz accept?

Health plans from Harvard Pilgrim Health Care list Michael Eltz 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 Michael Eltz was last updated on September 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.