Priscilla Ellis, PHD
Psychologist, Clinical in Newton, Massachusetts
1225180573- Practice location
- 1121 Washington St, Suite 4, Newton, MA 02465-2149
- Phone
- 617-969-2500
- Fax
- —
- Last updated
- July 8, 2007
Priscilla Ellis is a Psychologist, Clinical based in Newton, MA. Priscilla Ellis practices in Newton, MA and has the professional credentials of PHD. The NPI Number for Priscilla Ellis is 1225180573 and holds a License No. 2133 (MA). The current practice location address for Priscilla Ellis is 1121 Washington St, Suite 4, Newton, MA 02465-2149 and can be reached out via phone at 617-969-2500.
Provider Profile Details
- NPI Number
- 1225180573
- Provider Name
- Priscilla Ellis
- Credential
- PHD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 1121 Washington St, Suite 4, Newton, MA 02465-2149
- Phone Number
- 617-969-2500
- Primary Taxonomy
- Psychologist, Clinical · 103TC0700X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- January 17, 2007
- Last Update Date
- July 8, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1121 Washington St
Suite 4
Newton, MA 02465-2149 - City
- Newton
- State
- Massachusetts
- Zip
- 02465-2149
- Phone Number
- 617-969-2500
Provider Business Mailing Address Details
- Address
- 16 Olmstead St
Jamaica Plain, MA 02130-2910 - City
- Jamaica Plain
- State
- MA
- Zip
- 02130-2910
License Information
- License Number
- 2133
- License State
- MA
- Taxonomy
- Psychologist, Clinical · 103TC0700X · Primary
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 Priscilla Ellis, PHD?
The NPI number of Priscilla Ellis, PHD is 1225180573. It was assigned on January 17, 2007 and is currently active in the NPPES registry.
What is the specialty of Priscilla Ellis, PHD?
Priscilla Ellis, PHD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in MA under license number 2133.
Where does Priscilla Ellis, PHD practice?
The practice location is 1121 Washington St, Suite 4, Newton, MA 02465-2149. The office can be reached at 617-969-2500 (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 1225180573 directly on the NPPES registry website.