Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Elise Middleton

Individual provider Mental Health Counselor · NPI 1619377611

Elise Middleton is a Clinical Psychologist in Richmond, California. Qualified in 2015, 11 years ago. Practices with Mark David Levine MD Professional Corporation, a 157-clinician group and accepts Medicare assignment.

Years since qualifying
11
In the registry since
2014
Specialties on file
4

Practice location Address checks out

4101 Macdonald Ave
Richmond, CA 94805-2333
Phone: (510) 412-9200
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X
Mental Health Counselor Taxonomy 101YM0800X
School Counselor Taxonomy 101YS0200X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1619377611
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 26, 2014
Last updated in NPPESAugust 18, 2016
Mailing address4101 Macdonald Ave, Richmond, CA 94805-2333

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Mark David Levine Md Professional Corporation — 157 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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