Dr. Theodore J Ellenhorn, PHD
Psychologist, Clinical in Amherst, Massachusetts
1609911544- Practice location
- 17 Kellogg Ave, Ste 3, Amherst, MA 01002-2150
- Phone
- 413-256-3075
- Fax
- —
- Last updated
- February 25, 2020
Theodore Jacob Ellenhorn is a Psychologist, Clinical based in Amherst, MA. Theodore Jacob Ellenhorn practices in Amherst, MA and has the professional credentials of PHD. The NPI Number for Theodore Jacob Ellenhorn is 1609911544 and holds a License No. 5069 (MA). The current practice location address for Theodore Jacob Ellenhorn is 17 Kellogg Ave, Ste 3, Amherst, MA 01002-2150 and can be reached out via phone at 413-256-3075.
Provider Profile Details
- NPI Number
- 1609911544
- Provider Name
- Theodore Jacob Ellenhorn
- Credential
- PHD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 17 Kellogg Ave, Ste 3, Amherst, MA 01002-2150
- Phone Number
- 413-256-3075
- Primary Taxonomy
- Psychologist, Clinical · 103TC0700X
- Sole Proprietor
- No
- Provider Enumeration Date
- February 20, 2007
- Last Update Date
- February 25, 2020
- Certification Date
- February 25, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 17 Kellogg Ave
Ste 3
Amherst, MA 01002-2150 - City
- Amherst
- State
- Massachusetts
- Zip
- 01002-2150
- Phone Number
- 413-256-3075
Provider Business Mailing Address Details
- Address
- 79 South Pleasant Street
Room 302
Amherst, MA 01002 - City
- Amherst
- State
- MA
- Zip
- 01002
- Phone Number
- 413-256-3075
License Information
- License Number
- 5069
- 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 Dr. Theodore J Ellenhorn, PHD?
The NPI number of Dr. Theodore J Ellenhorn, PHD is 1609911544. It was assigned on February 20, 2007 and is currently active in the NPPES registry.
What is the specialty of Dr. Theodore J Ellenhorn, PHD?
Dr. Theodore J Ellenhorn, PHD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in MA under license number 5069.
Where does Dr. Theodore J Ellenhorn, PHD practice?
The practice location is 17 Kellogg Ave, Ste 3, Amherst, MA 01002-2150. The office can be reached at 413-256-3075 (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 1609911544 directly on the NPPES registry website.