ELYSE STEWART PHD
NPI 1922740836
Psychologist - Clinical in Cambridge, MA

Active since April 11, 2022Opted out of Medicare · through Mar 27, 2028
1734 MASSACHUSETTS AVE, CAMBRIDGE, MA 02138(617) 902-0625 Get Directions Write a Review

NPPES record last updated: July 27, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 27, 2023, Apr 11, 2022 (2 updates tracked since 2022).

About Elyse Stewart Phd NPPES

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

ELYSE STEWART PHD (NPI 1922740836) is an individual clinical provider in Cambridge, Massachusetts, licensed in Massachusetts (PSY10000227) and active in the NPI registry since April 2022. She has opted out of Medicare through March 27, 2028.

NPPES Registry Identity

NPI1922740836
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameELYSE STEWARTCredential: PHD
Location Address1734 MASSACHUSETTS AVECambridge, MA 02138-1804
Mailing Address612 Main StMelrose, MA 02176-3116 · (617) 902-0625
Sole ProprietorNo
Enumeration DateApril 11, 2022
Last NPPES UpdateJuly 27, 20232 updates tracked since enumeration
NPPES CertifiedJuly 27, 2023
NPI 1922740836 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in MA · PSY10000227
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
1734 MASSACHUSETTS AVE, Cambridge, MA 02138

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Elyse Stewart 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 March 27, 2024 through March 27, 2028.

Opt-Out Effective DateMarch 27, 2024
Opt-Out In Effect ThroughMarch 27, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 4

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

Student in an Organized Health Care Education/Training Program
1734 MASSACHUSETTS AVE
CAMBRIDGE, MA 02138
Social Worker
1734 MASSACHUSETTS AVE
CAMBRIDGE, MA 02138
Social Worker (Clinical)
1734 MASSACHUSETTS AVE, SUITE 32
CAMBRIDGE, MA 02138
Psychologist
1734 MASSACHUSETTS AVE
CAMBRIDGE, MA 02138

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 Elyse Stewart's NPI number?

The NPI number for Elyse Stewart is 1922740836. It was assigned to this individual provider in the NPPES registry on April 11, 2022.

Where is Elyse Stewart located?

Elyse Stewart practices at 1734 Massachusetts Ave, Cambridge, MA 02138. The listed phone number is (617) 902-0625.

What is Elyse Stewart's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Elyse Stewart enrolled in Medicare?

No. Elyse Stewart has opted out of Medicare through March 27, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Elyse Stewart was last updated on July 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.