Active NPIIndividual providerSole proprietor

Dr. Elissa Ely, MD

Psychiatry & Neurology, Psychiatry in Jamaica Plain, Massachusetts

NPI Number1194826040
Practice location
180 Morton St, 4NORTH, Jamaica Plain, MA 02130-3735
Fax
—
Last updated
July 8, 2007

Elissa Ely is a Psychiatry & Neurology, Psychiatry based in Jamaica Plain, MA. Elissa Ely practices in Jamaica Plain, MA and has the professional credentials of MD. The NPI Number for Elissa Ely is 1194826040 and holds a License No. 71620 (MA). The current practice location address for Elissa Ely is 180 Morton St, 4NORTH, Jamaica Plain, MA 02130-3735 and can be reached out via phone at 617-626-9580.

Provider Profile Details

NPI Number
1194826040
Provider Name
Elissa Ely
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
180 Morton St, 4NORTH, Jamaica Plain, MA 02130-3735
Phone Number
617-626-9580
Primary Taxonomy
Psychiatry & Neurology, Psychiatry · 2084P0800X
Sole Proprietor
Yes
Provider Enumeration Date
September 25, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
180 Morton St
4NORTH
Jamaica Plain, MA 02130-3735
Zip
02130-3735
Phone Number
617-626-9580
Jamaica Plain, MA 02130Get directions →

Provider Business Mailing Address Details

Address
67 Orchard St
Belmont, MA 02478-3509
City
Belmont
State
MA
Zip
02478-3509
Phone Number
617-484-2646

License Information

License Number
71620
License State
MA
Taxonomy
Psychiatry & Neurology, Psychiatry · 2084P0800X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Dr. Elissa Ely, MD?

The NPI number of Dr. Elissa Ely, MD is 1194826040. It was assigned on September 25, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Elissa Ely, MD?

Dr. Elissa Ely, MD is registered under the primary taxonomy Psychiatry & Neurology, Psychiatry (code 2084P0800X), licensed in MA under license number 71620.

Where does Dr. Elissa Ely, MD practice?

The practice location is 180 Morton St, 4NORTH, Jamaica Plain, MA 02130-3735. The office can be reached at 617-626-9580 (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 1194826040 directly on the NPPES registry website.

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