Basic Information
Provider Information
NPI: 1235556614
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: JANOPAUL-NAYLOR
FirstName: ELIZABETH
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1493 CAMBRIDGE ST MACHT BUILDING
Address2: CAMBRIDGE HEALTH ALLIANCE
City: CAMBRIDGE
State: MA
PostalCode: 021391047
CountryCode: US
TelephoneNumber: 6176651000
FaxNumber:  
Practice Location
Address1: 1493 CAMBRIDGE ST MACHT BUILDING
Address2: CAMBRIDGE HEALTH ALLIANCE
City: CAMBRIDGE
State: MA
PostalCode: 021391047
CountryCode: US
TelephoneNumber: 6176651000
FaxNumber:  
Other Information
ProviderEnumerationDate: 03/24/2014
LastUpdateDate: 08/06/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 08/06/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2084P0800X260268MAY Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry

No ID Information.


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