Ellen E Ijebor, PHD
Psychologist, Clinical in Boston, Massachusetts
1255017760- Practice location
- 85 E Newton St, Boston, MA 02118-3553
- Phone
- 617-414-4646
- Fax
- —
- Last updated
- September 10, 2026
Ellen Edutu Ijebor is a Psychologist, Clinical based in Boston, MA. Ellen Edutu Ijebor practices in Boston, MA and has the professional credentials of PHD. The NPI Number for Ellen Edutu Ijebor is 1255017760 and holds a License No. PSY10001433 (MA). The current practice location address for Ellen Edutu Ijebor is 85 E Newton St, Boston, MA 02118-3553 and can be reached out via phone at 617-414-4646.
Provider Profile Details
- NPI Number
- 1255017760
- Provider Name
- Ellen Edutu Ijebor
- Credential
- PHD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 85 E Newton St, Boston, MA 02118-3553
- Phone Number
- 617-414-4646
- Primary Taxonomy
- Psychologist, Clinical · 103TC0700X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 27, 2023
- Last Update Date
- September 10, 2026
- Certification Date
- September 10, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 85 E Newton St
Boston, MA 02118-3553 - City
- Boston
- State
- Massachusetts
- Zip
- 02118-3553
- Phone Number
- 617-414-4646
Provider Business Mailing Address Details
- Address
- 1363 Boylston St # 205
Boston, MA 02215-3941 - City
- Boston
- State
- MA
- Zip
- 02215-3941
- Phone Number
- 956-236-1793
License Information
- License Number
- PSY10001433
- 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 Ellen E Ijebor, PHD?
The NPI number of Ellen E Ijebor, PHD is 1255017760. It was assigned on June 27, 2023 and is currently active in the NPPES registry.
What is the specialty of Ellen E Ijebor, PHD?
Ellen E Ijebor, PHD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in MA under license number PSY10001433.
Where does Ellen E Ijebor, PHD practice?
The practice location is 85 E Newton St, Boston, MA 02118-3553. The office can be reached at 617-414-4646 (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 1255017760 directly on the NPPES registry website.