DR. ELIZABETH ANN WAIESS (PSYD) – Clinical Psychologist, NPI 1114998838

DR. ELIZABETH ANN WAIESS (PSYD) is a healthcare provider. based in East lansing, Michigan. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PSYD. They hold a License No. 6301005767 (MI). The NPI Number for DR. ELIZABETH ANN WAIESS (PSYD) is 1114998838

Main info

Female
Sole Proprietor
29 Years Of Experience
Accepts Medicare Assignment
Name
DR. ELIZABETH ANN WAIESS (PSYD)
NPI
1114998838
Phone
(517) 336-9930
Address
P.O. BOX 4402
Enumeration Date
30 January 2006
Last Update Date
11 October 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5173369930
Graduation Year
1997 (29 years ago)
PAC ID
4688790728
Professional Enrollment ID
I20100927001006
Address ID
MI488641941OK1749XRDXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,216 CLINICAL PSYCHOLOGIST in MI

Provider Addresses for DR. ELIZABETH ANN WAIESS (PSYD)

  • P.O. BOX 4402

    4970 NORTHWIND DRIVE SUITE 210

    EAST LANSING, MI 488235030

    Phone: (517) 336-9930

    Type: Mailing

  • 1749 HAMILTON RD STE 102B

    OKEMOS, MI 488641941

    Phone: (517) 336-9930

    Type: Mailing

  • Northwind Drive, East Lansing, Ingham County, Michigan, 48823, United States

    EAST LANSING, MI 488235030

    Phone: (517) 336-9930

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-09-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100927001006IClinical PsychologistMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48823)

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Reviews

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Frequently asked questions

Can I use this page to confirm DR. ELIZABETH ANN WAIESS (PSYD)'s NPI?
Yes. DR. ELIZABETH ANN WAIESS (PSYD) is listed with NPI 1114998838 in the public NPI dataset.
Does the file indicate DR. ELIZABETH ANN WAIESS (PSYD) is practicing under active NPI?
Directory data currently reports DR. ELIZABETH ANN WAIESS (PSYD) as active.
What is DR. ELIZABETH ANN WAIESS (PSYD)'s primary classification?
Clinical Psychologist is the headline specialty for DR. ELIZABETH ANN WAIESS (PSYD) here. Clinical services aligned with this taxonomy classification.
Does DR. ELIZABETH ANN WAIESS (PSYD) list a practice location?
Patients near East Lansing, Michigan may find DR. ELIZABETH ANN WAIESS (PSYD) in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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