Matthew Ellam, CNP
Nurse Practitioner, Psych/Mental Health in Brookline, Massachusetts
1083006696- Practice location
- 1330 Beacon St Ste 202, Brookline, MA 02446-3202
- Phone
- 617-354-4450
- Fax
- —
- Last updated
- March 5, 2021
Matthew Ellam is a Nurse Practitioner, Psych/Mental Health based in Brookline, MA. Matthew Ellam practices in Brookline, MA and has the professional credentials of CNP. The NPI Number for Matthew Ellam is 1083006696 and holds a License No. RN2295977 (MA). The current practice location address for Matthew Ellam is 1330 Beacon St Ste 202, Brookline, MA 02446-3202 and can be reached out via phone at 617-354-4450.
Provider Profile Details
- NPI Number
- 1083006696
- Provider Name
- Matthew Ellam
- Credential
- CNP
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 1330 Beacon St Ste 202, Brookline, MA 02446-3202
- Phone Number
- 617-354-4450
- Primary Taxonomy
- Nurse Practitioner, Psych/Mental Health · 363LP0808X
- Sole Proprietor
- No
- Provider Enumeration Date
- February 19, 2015
- Last Update Date
- March 5, 2021
- Certification Date
- March 5, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1330 Beacon St Ste 202
Brookline, MA 02446-3202 - City
- Brookline
- State
- Massachusetts
- Zip
- 02446-3202
- Phone Number
- 617-354-4450
Provider Business Mailing Address Details
- Address
- 6 Liberty Sq # 96730
Boston, MA 02109-5800 - City
- Boston
- State
- MA
- Zip
- 02109-5800
License Information
- License Number (1)
- RN2295977
- License State (1)
- MA
- Taxonomy (1)
- Nurse Practitioner, Psych/Mental Health · 363LP0808X · Primary
- License Number (2)
- RN2295977
- License State (2)
- MA
- Taxonomy (2)
- Registered Nurse · 163W00000X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Matthew Ellam, CNP?
The NPI number of Matthew Ellam, CNP is 1083006696. It was assigned on February 19, 2015 and is currently active in the NPPES registry.
What is the specialty of Matthew Ellam, CNP?
Matthew Ellam, CNP is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in MA under license number RN2295977.
Where does Matthew Ellam, CNP practice?
The practice location is 1330 Beacon St Ste 202, Brookline, MA 02446-3202. The office can be reached at 617-354-4450 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1083006696 directly on the NPPES registry website.