Dr. James T Ellis, PHD, BCBA
Psychologist, Clinical in Andover, Massachusetts
1538468392- Practice location
- 461 River RD, Andover, MA 01810-4213
- Phone
- 978-654-4300
- Fax
- —
- Last updated
- March 19, 2011
James T Ellis is a Psychologist, Clinical based in Andover, MA. James T Ellis practices in Andover, MA and has the professional credentials of PHD, BCBA. The NPI Number for James T Ellis is 1538468392 and holds a License No. 1-05-2212 (MA). The current practice location address for James T Ellis is 461 River RD, Andover, MA 01810-4213 and can be reached out via phone at 978-654-4300.
Provider Profile Details
- NPI Number
- 1538468392
- Provider Name
- James T Ellis
- Credential
- PHD, BCBA
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 461 River RD, Andover, MA 01810-4213
- Phone Number
- 978-654-4300
- Primary Taxonomy
- Psychologist, Clinical · 103TC0700X
- Sole Proprietor
- No
- Provider Enumeration Date
- March 19, 2011
- Last Update Date
- March 19, 2011
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 461 River RD
Andover, MA 01810-4213 - City
- Andover
- State
- Massachusetts
- Zip
- 01810-4213
- Phone Number
- 978-654-4300
Provider Business Mailing Address Details
- Address
- 166 Boston St # 3
Dorchester, MA 02125-1142 - City
- Dorchester
- State
- MA
- Zip
- 02125-1142
- Phone Number
- 978-806-1906
License Information
- License Number (1)
- 1-05-2212
- License State (1)
- MA
- Taxonomy (1)
- Behavior Analyst · 103K00000X
- License Number (2)
- 7985
- License State (2)
- MA
- Taxonomy (2)
- 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 Dr. James T Ellis, PHD, BCBA?
The NPI number of Dr. James T Ellis, PHD, BCBA is 1538468392. It was assigned on March 19, 2011 and is currently active in the NPPES registry.
What is the specialty of Dr. James T Ellis, PHD, BCBA?
Dr. James T Ellis, PHD, BCBA is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in MA under license number 1-05-2212.
Where does Dr. James T Ellis, PHD, BCBA practice?
The practice location is 461 River RD, Andover, MA 01810-4213. The office can be reached at 978-654-4300 (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 1538468392 directly on the NPPES registry website.