DR. ELIZABETH GUSTAFSON PHD
NPI 1871937862
Psychologist in Los Angeles, CA

Active since April 22, 2013Opted out of Medicare · through Jan 1, 2028
3306 GLENDALE BLVD STE 7, LOS ANGELES, CA 90039(323) 963-3335 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Aug 29, 2018, Mar 17, 2018 and 3 more (6 updates tracked since 2016).

About Dr. Elizabeth Gustafson Phd NPPES

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

DR. ELIZABETH GUSTAFSON PHD (NPI 1871937862) is an individual psychologist in Los Angeles, California and active in the NPI registry since April 2013. She has opted out of Medicare through January 1, 2028 and remains eligible to order and refer and maintains a secondary practice location in Glendale.

NPPES Registry Identity

NPI1871937862
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. ELIZABETH GUSTAFSONCredential: PHD
Location Address3306 GLENDALE BLVD STE 7Los Angeles, CA 90039
Mailing Address3306 Glendale Blvd Ste 7Los Angeles, CA 90039-1838 · (323) 963-3335
Sole ProprietorYes
Enumeration DateApril 22, 2013
Last NPPES UpdateJuly 21, 20226 updates tracked since enumeration
NPI 1871937862 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
3306 GLENDALE BLVD STE 7, Los Angeles, CA 90039

Secondary Practice Location 1

Location 1450 N Brand Blvd Ste 600Glendale, CA 91203-2349 · Phone (323) 963-3335

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. Elizabeth Gustafson 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 January 1, 2018 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2018
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 5

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

Home Health
3306 GLENDALE BLVD STE 7
LOS ANGELES, CA 90039
Non-emergency Medical Transport (VAN)
3306 GLENDALE BLVD STE 7
LOS ANGELES, CA 90039
Psychologist
3306 GLENDALE BLVD STE 7
LOS ANGELES, CA 90039
Counselor (Mental Health)
3306 GLENDALE BLVD STE 7
LOS ANGELES, CA 90039
Non-emergency Medical Transport (VAN)
3306 GLENDALE BLVD STE 7
LOS ANGELES, CA 90039

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 Gustafson's NPI number?

The NPI number for Elizabeth Gustafson is 1871937862. It was assigned to this individual provider in the NPPES registry on April 22, 2013.

Where is Elizabeth Gustafson located?

Elizabeth Gustafson practices at 3306 Glendale Blvd Ste 7, Los Angeles, CA 90039. The listed phone number is (323) 963-3335.

What is Elizabeth Gustafson's specialty?

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

Is Elizabeth Gustafson enrolled in Medicare?

No. Elizabeth Gustafson has opted out of Medicare through January 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.

When was this NPI record last updated?

The NPPES record for Elizabeth Gustafson was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.