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NPI · 1669969861 · NPPES-sourced

Elissa Wilburn PHD

ActiveClinical Psychologist
NPI Number
1669969861
Type 1 · Individual
Taxonomy Code
103TC0700X
Contact
(501) 364-5150
License AR · 202163
Last Updated
About 4 years ago (Jan 2022)
Enumerated 2018-04-13
Primary practice addressAR · 72202-4618
1210 Wolfe StLittle Rock, AR 72202-4618
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Also known as

  • Formerly known asDougherty, Elissa H

Source: NPPES public registry.

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About this NPIWhat this record shows.

NPI 1669969861 is registered to Elissa Wilburn PHD, a Clinical Psychologist practising at 1210 Wolfe St in Little Rock, Arkansas. Clinical Psychologist is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Elissa Wilburn PHD has been enumerated in the National Provider Identifier (NPI) registry since 2018.

Provider type
Individual (Type 1)
Status
Active
Enumerated
2018-04-13
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Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Practitioner

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Elissa Wilburn PHD accepts. To confirm in-network status with your specific health plan, contact Elissa Wilburn PHD directly at (501) 364-5150.

Frequently asked

Yes. NPI 1669969861 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Clinical Psychologist is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (501) 364-5150.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Elissa Wilburn PHD is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy103TC0700X
Last updated2022-01
Enumerated2018-04-13
StatusActive
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