ELENA JEAN TENENBAUM (NPI# 1770073041) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770073041 |
| Entity Type | Individual |
| Full Name | ELENA JEAN TENENBAUM |
| Credential | PHD |
| Practice Address |
2608 Erwin Rd Durham NC 27705-4596 |
| Practice Telephone | 9196685559 |
| Enumeration Date | 2018-05-13 |
| Last Update Date | 2018-05-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
PENDING | NC | Behavioral Health & Social Service Providers |
| Street Address |
2608 ERWIN RD |
| City | DURHAM |
| State | NC |
| Zip Code | 27705-4596 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215908637 | Brenna Lynne Hughes | Specialist | 2608 Erwin Rd, Suite 210, Durham, NC 27705-4596 | 2006-02-01 |
| 1215443783 | Jodie Lynne Neukirch Elliott | Social Worker | 2608 Erwin Rd, Durham, NC 27705-4596 | 2017-12-20 |
| 1669982930 | Bethany Lorraine Bivens | Social Worker | 2608 Erwin Rd, Durham, NC 27705-4596 | 2017-10-02 |
| 1013442474 | Kristen Jane Russell | Social Worker | 2608 Erwin Rd, 300, Durham, NC 27705-4596 | 2017-04-24 |
| 1407397359 | Tyler Anne Hassenfeldt | Psychologist | 2608 Erwin Rd, Suite 300, Durham, NC 27705 | 2017-03-11 |
| 1851842322 | Itala Marcella Azzarelli | Social Worker | 2608 Erwin Rd, Suite 300, Durham, NC 27705-4596 | 2016-10-20 |
| 1376093591 | Private Diagnostic Clinic, Pllc | Psychologist | 2608 Erwin Rd, Ste 300, Durham, NC 27705-4596 | 2016-10-12 |
| 1699127662 | Sarah O'rourke | Psychologist | 2608 Erwin Rd, Suite 300, Durham, NC 27705-4596 | 2016-07-01 |
| 1881046811 | Julia Schechter | Psychologist | 2608 Erwin Rd, Suite 300, Durham, NC 27705-4596 | 2016-07-01 |
| 1487005476 | Jill Elizabeth Lorenzi | Psychologist | 2608 Erwin Rd, 300, Durham, NC 27705-4596 | 2016-06-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295371755 | Tyler Beach, Lcsw, Pllc | Social Worker | 2740 Spencer Street, Durham, NC 27705 | 2019-11-20 |
| 1720635477 | Brittany W Fry | Registered Nurse | 2301 Erwin Road, Hafs Building, Room 6670, Durham, NC 27705 | 2019-08-19 |
| 1760968044 | Nicole D Moore | Social Worker | 1921 N. Pointe Dr, Suite 280, Durham, NC 27705 | 2018-07-19 |
| 1144757097 | Emileigh S Dowling | Physical Therapist | 3475 Erwin Rd Bldg 2, Durham, NC 27705 | 2017-05-22 |
| 1487195350 | Daniel Lynch | Physical Therapist | 3475 Erwin Road, Pepsico Building, Durham, NC 27705 | 2017-03-13 |
| 1780131839 | Michael A Fitzpatrick Iv | Physical Therapist | 3475 Erwin Rd Bldg 2nd, Durham, NC 27705 | 2016-09-07 |
| 1609241736 | Julia Power Constant | Physician Assistant | Dumc Box 3913, Durham, NC 27705 | 2015-12-01 |
| 1518344159 | Amanda Clark Coniglio | Internal Medicine | 2301 Erwin Rd # 3845, Durham, NC 27705 | 2015-05-04 |
| 1720486988 | Jennifer Dawn Pace | Physician Assistant | 1821 Hillandale Road Suite 24a, Duke Urgent Care, Durham, NC 27705 | 2014-12-19 |
| 1942612106 | Rachel Hibberd | Psychologist | 508 Fulton Avenue, Durham Va Medical Center, Durham, NC 27705 | 2014-05-22 |
| Find all providers in zip 27705 | ||||
| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497397673 | Sheltia Powell | Psychologist | 1400 E Cornwallis Rd, Durham, NC 27713-3457 | 2019-10-09 |
| 1831421106 | Sarah Elizabeth Shook | Psychologist | 1415 W Nc Highway 54 Ste 104, Durham, NC 27707 | 2010-02-11 |
| 1598245292 | Kyla Machell Blalock | Psychologist | 2608 Erwin Rd Ste 300, Durham, NC 27705-4597 | 2018-08-21 |
| 1417390444 | Durham Dbt, Inc. | Psychologist | 5850 Fayetteville Rd, Suite 201, Durham, NC 27713-6289 | 2013-04-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043831639 | Elizabeth A Derouin | Psychologist | 422 W 9th St, Newton, NC 28658-3819 | 2020-05-05 |
| 1154796480 | Kerri Wright | Psychologist | 7206 Courtney Pines Rd, Wilmington, NC 28411-7076 | 2015-12-11 |
| 1780053223 | Susan Lynn Moschos | Psychologist | 249 Tobacco Farm Way, Chapel Hill, NC 27516-8420 | 2015-09-15 |
| 1720454549 | Jessica Boisjoli Leboeuf | Psychologist | 824 Historian St, Raleigh, NC 27603-3489 | 2015-08-16 |
| 1275958399 | Matthews Psychological and Family Services, Pllc | Psychologist | 1811 Sardis Road North, Suite 207, Charlotte, NC 28270 | 2014-02-26 |
| 1740543032 | Bindiya Shajith | Psychologist | 300 Asheville Ave, Suite # 240, Cary, NC 27518-8682 | 2012-06-21 |
| 1144589623 | Lara E. Gerrard, Ma, Lpa Psychoeducational Evaluations | Psychologist | 668 N Spence Ave, Goldsboro, NC 27534-4233 | 2012-05-03 |
| 1295003002 | Linda Peer Fleming | Psychologist | 108-d West Firetower Rd., Teacch South Hall Professional Center, Winterville, NC 28590 | 2011-12-07 |
| 1508165986 | The G.l.u. Club, LLC | Psychologist | 9156 Eventine Ct, Charlotte, NC 28214-9323 | 2011-03-24 |
| 1437456407 | Geraldine Dawson | Psychologist | 4120 Bioinformatics Building, University of North Carolina, Chapel Hill, NC 27599-0001 | 2011-02-28 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on ELENA JEAN TENENBAUM.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.