DR. JULIE ANN ELLIS (NPI# 1104144179) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1104144179 |
Entity Type | Individual |
Full Name | DR. JULIE ANN ELLIS |
Credential | PH.D. |
Practice Address |
421 Sw 128th Ter Newberry FL 32669-3247 |
Practice Telephone | 3522812718 |
Mailing Telephone | 3522812718 |
Enumeration Date | 2010-05-14 |
Last Update Date | 2010-05-14 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103T00000X | Psychologist | PY 8036 | FL | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649694829 | Julie Maria Ellis | Contractor | 4916 Davidson Run Dr, Hilliard, OH 43026-3826 | 2014-02-09 |
1629319124 | Julie Ellis | Speech-Language Pathologist | 4214 Sheridan Rd, Mount Pleasant, WI 53403-4142 | 2013-03-07 |
1679767230 | Julie E Ellis | Pediatrics | 10085 Red Run Blvd, Suite 307-310, Owings Mills, MD 21117-4836 | 2007-08-28 |
1205999281 | Julie A Ellis | Physical Therapist | 754 N College Rd, Ste D, Twin Falls, ID 83301-5822 | 2006-12-19 |
1538264734 | Julie Susanne Ellis | Counselor | 2434 S Eason Blvd, Tupelo, MS 38804-6942 | 2006-09-13 |
1194766790 | Julie T. Ellis | Internal Medicine | 3950 Kresge Way Ste 303, Louisville, KY 40207-4637 | 2006-06-08 |
1568439297 | Julie A Ellis | Social Worker | 3350 La Jolla Village Dr, Sws-122, San Diego, CA 92161-0002 | 2006-03-01 |
Street Address |
421 SW 128TH TER |
City | NEWBERRY |
State | FL |
Zip Code | 32669-3247 |
NPI | Name | Taxonomy | Address | Enumeration |
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1427695741 | Jonesville Family Dentistry Pa | Dentist | 175 Nw 138th Terrace, Suite 200, Jonesville, FL 32669 | 2019-12-05 |
1952889206 | Guan Physical Therapy and Acupuncture, LLC | Acupuncturist | 13577 Nw 2nd Ln, Suite 1, Newberry, FL 32669 | 2018-07-30 |
1538611462 | Avery Partners, Inc | Clinic/Center | 105 Sw 140th Terrace, Jonesville, FL 32669 | 2016-10-26 |
1760891758 | Fremont Peak Emergency Physicians LLC | Physician Assistant | 12311 W Newberry Road, Newberry, FL 32669 | 2014-08-05 |
1962816231 | Advanced Pain Medicine of North Florida LLC | Anesthesiology | 194 Nw 137th Drive, Suite 100, Newberry, FL 32669 | 2014-06-16 |
1336571611 | Martin Kids Dental Health Team | Dentist | 13820 W Newberry Rd Ste 100, Jonesville, FL 32669 | 2013-08-08 |
1760825699 | 1st Choice Urgent Care Center LLC | Clinic/Center | 128 Nw 137th Drive, Newberry, FL 32669 | 2013-04-10 |
1396088068 | Elsie Laguerre | Occupational Therapist | 105 S.w 140th Terrace, Jonesville, FL 32669 | 2013-04-01 |
1144530171 | Dana Smith Haase | Speech-Language Pathologist | 105 S.w. 140th Terrace, Jonesville, FL 32669 | 2010-10-08 |
1487853271 | Amanda H Mayberry | Massage Therapist | 25355 West Newberry Rd, Newberry, FL 32669 | 2007-07-12 |
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Taxonomy Code | 103T00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
Notes: Source: American Psychological Association [1/1/2007: modified definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376550087 | Helen R Mason | Psychologist | 2043 Medical Park Dr, Newberry, SC 29108-2249 | 2006-08-02 |
1154640407 | Michelle Zang Curtis-nutkins | Psychologist | 14126 County Road 428, Newberry, MI 49868-7762 | 2010-05-26 |
1225284169 | Lucy Marrero | Psychologist | 14260 W Newberry Rd, #165, Newberry, FL 32669-2765 | 2008-08-12 |
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1720606718 | Carolina Montalvo | Psychologist | 480 Ne 30th St Apt 1606, Miami, FL 33137-4337 | 2020-07-07 |
1689291833 | Bridget Cabibi | Psychologist | 10700 Nw 66th St Apt 512, Doral, FL 33178-5508 | 2020-07-02 |
1912524414 | Infinity Doctors Inc. | Psychologist | 9821 E Bay Harbor Dr Apt 401, Bay Harbor Islands, FL 33154-1868 | 2020-06-30 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.