CHERYL ELLIS (NPI# 1265548895) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265548895 |
| Entity Type | Individual |
| Full Name | CHERYL ELLIS |
| Credential | PSYD |
| Practice Address |
11 Mountain Ave Suite 204 Bloomfield CT 06002-2343 |
| Mailing Address |
2 Silo Way Bloomfield CT 06002-1651 |
| Practice Telephone | 8607269457 |
| Mailing Telephone | 8602423640 |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 002512 | CT | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689812083 | Cheryl Leigh Ellis | Specialist/Technologist | 1305 Dantignac St, Augusta, GA 30901-2774 | 2009-01-23 |
| 1689819435 | Cheryl Ellis | Nurse Practitioner | 7 South Hospital Drive, Murphysboro, IL 62966-3333 | 2008-12-09 |
| 1366460636 | Cheryl Ann Ellis | Physical Medicine & Rehabilitation | 2415 De La Vina St, Santa Barbara, CA 93105-3819 | 2006-07-17 |
| Street Address |
11 MOUNTAIN AVE SUITE 204 |
| City | BLOOMFIELD |
| State | CT |
| Zip Code | 06002-2343 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104865773 | Joanne M. Wholey | Counselor | 11 Mountain Ave, Suite 305, Bloomfield, CT 06002-2343 | 2006-06-06 |
| 1073996898 | Chi Yu Yang | Dentist | 11 Mountain Ave, Suite 107, Bloomfield, CT 06002-2343 | 2015-06-30 |
| 1023370335 | Judith G. Hunt, Lmft, LLC | Marriage & Family Therapist | 11 Mountain Ave, Suite 204, Bloomfield, CT 06002-2343 | 2012-06-12 |
| 1962688036 | Bloomfield Chiropractic Center, LLC | Chiropractor | 11 Mountain Ave, Bloomfield, CT 06002-2343 | 2008-01-18 |
| 1457576514 | Judith Gail Hunt | Marriage & Family Therapist | 11 Mountain Ave, Suite 204, Bloomfield, CT 06002-2343 | 2007-04-16 |
| 1629145065 | Community Renewal Team | Marriage & Family Therapist | 11 Mountain Ave, Suite204, Bloomfield, CT 06002-2343 | 2006-11-29 |
| 1023193448 | Chulhwan J Kim | Dentist | 11 Mountain Ave, Suite 107, Bloomfield, CT 06002-2343 | 2006-10-25 |
| 1104938950 | Sean F Robotham | Chiropractor | 11 Mountain Ave, Suite 104, Bloomfield, CT 06002 | 2006-08-31 |
| 1801816186 | Kenneth Lawrence Lefkowitz | Dentist | 11 Mountain Ave, Bloomfield, CT 06002-2343 | 2006-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558908897 | Duncaster, Inc. | Clinic/Center | 30 Loeffler Rd., Bloomfield, CT 06002 | 2019-12-05 |
| 1104467919 | Caroline Suzanne Carey Oesch | Counselor | 71 West Dudley St, Bloomfield, CT 06002 | 2019-10-02 |
| 1679047534 | Inspire Me, LLC | Counselor | 1-2 Camelot Drive, Bloomfield, CT 06002 | 2019-01-14 |
| 1508348947 | Rebecca Perry | Student in an Organized Health Care Education/Training Program | 693 Bloomfield Avenue, Bloomfield, CT 06002 | 2018-09-01 |
| 1760996946 | Monique Edwards | Social Worker | 705 New Briatin Ave, Chd, Bloomfield, CT 06002 | 2017-11-27 |
| 1225564412 | Merva E Dixon | Nurse Practitioner | 38 Hill Farm Rd, Bloomfield, CT 06002 | 2017-05-07 |
| 1538602610 | Jaime Acevedo | Counselor | 571 Bloomfield Ave, Bloomfield, CT 06002 | 2016-11-22 |
| 1669835138 | Jacob Badura | Pharmacist | 799-824 Park Ave, Bloomfield, CT 06002 | 2016-04-01 |
| 1316283328 | Julie Jason Farrelly | Counselor | 45 Wintonbury Ave Ste 102, Bloomfield, CT 06002 | 2012-12-19 |
| 1184915860 | Rachel Benedetto Scott | Surgery | 6 Northwestern Drive, Suite 305, Bloomfield, CT 06002 | 2011-04-28 |
| Find all providers in zip 06002 | ||||
| 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 |
|---|---|---|---|---|
| 1154966042 | Lori Ann Magda | Psychologist | 2 Broad St Ste 7, Bloomfield, NJ 07003-2549 | 2019-11-14 |
| 1205127206 | Dawna Renee Mckinley | Psychologist | 35 Road 7585, Bloomfield, NM 87413-4936 | 2011-04-25 |
| 1902057821 | Patricia A. Bradley | Psychologist | 185 Broad Street, Bloomfield, NJ 07003 | 2008-10-09 |
| 1598950065 | James B Mathews | Psychologist | 3 Northcliff Dr, Bloomfield, CT 06002-1207 | 2007-09-07 |
| 1396875696 | Bernadette T Scolamiero | Psychologist | 40 Conger St, Ste 103b, Bloomfield, NJ 07003-3340 | 2007-03-06 |
| 1053497636 | Sandra Lyness IIi | Psychologist | 4252 Stoneleigh Rd, Bloomfield, MI 48302-2022 | 2006-10-27 |
| 1063593499 | Ben Lanpher | Psychologist | 500 South Prairie, Bloomfield, MO 63825-0500 | 2006-10-19 |
| 1699104836 | Dawn M Mcdonald | Psychologist | 11 New St, Bloomfield, NJ 07003-3603 | 2013-11-07 |
| 1932383916 | Christine M Demaio | Psychologist | 800 Cottage Grove Rd, Suite 504, Bloomfield, CT 06002-3064 | 2007-12-26 |
| 1144327065 | Wilbur Joseph Nelson Jr. | Psychologist | 3 Northwestern Dr, Bloomfield, CT 06002-3465 | 2006-09-20 |
| Find all providers in BLOOMFIELD | ||||
| City | BLOOMFIELD |
| Zip Code | 06002 |
Please comment or provide details below to improve the information on CHERYL ELLIS.
| 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.