DR. MICHAEL S ELLWOOD (NPI# 1467490664) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1467490664 |
Entity Type | Individual |
Full Name | DR. MICHAEL S ELLWOOD |
Credential | PHD |
Practice Address |
9202 Center Oak Ct Mechanicsville VA 23116-2744 |
Mailing Address |
9202 Center Oak Ct Ste 219 Mechanicsville VA 23116-2525 |
Practice Telephone | 8047300432 |
Mailing Telephone | 8047300432 |
Enumeration Date | 2006-06-02 |
Last Update Date | 2015-07-01 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC0700X |
Psychologist Specialization: Clinical |
0810001914 | VA | Behavioral Health & Social Service Providers |
N | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
08100001914 | VA | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073726691 | Michael R Ellwood | Physician Assistant | 6030 Selwood Pl, Springfield, VA 22152-1412 | 2007-05-08 |
Street Address |
9202 CENTER OAK CT |
City | MECHANICSVILLE |
State | VA |
Zip Code | 23116-2744 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174156277 | Nikita N Bonner | Nurse Practitioner | 9202 Center Oak Ct, Mechanicsville, VA 23116-2744 | 2020-02-17 |
1548809106 | Michele Laaksonen | Psychologist | 9202 Center Oak Ct, Mechanicsville, VA 23116-2744 | 2019-12-31 |
1548803448 | Lauren Elizabeth Fox | Marriage & Family Therapist | 9202 Center Oak Ct, Mechanicsville, VA 23116-2744 | 2019-10-23 |
1427618677 | Annika Holmberg | Registered Nurse | 9202 Center Oak Ct, Mechanicsville, VA 23116-2744 | 2019-06-19 |
1952836991 | Stephanie Malozzi | Psychologist | 9202 Center Oak Ct, Mechanicsville, VA 23116-2744 | 2017-04-27 |
1306239231 | Emily Parobek | Psychologist | 9202 Center Oak Ct, Mechanicsville, VA 23116-2744 | 2015-03-17 |
1902238876 | Andrew Matthew Stone | Psychologist | 9202 Center Oak Ct, Mechanicsville, VA 23116-2744 | 2013-08-02 |
1568401123 | Jennifer Merle Morgan | Clinical Neuropsychologist | 9202 Center Oak Ct, Mechanicsville, VA 23116 | 2006-06-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871131664 | Orthovirginia, Inc | Physician Assistant | 9369 Atlee Road Unit 3107, Mechanicsville, VA 23116 | 2019-12-12 |
1558915702 | Rachelle Lamaris Smith | Counselor | 7611 Magazine Drive, Mechanicsville, VA 23116 | 2019-07-26 |
1467004952 | Katherine Romero-davis | Speech-Language Pathologist | Sheltering Arms Rehabilitation Hospital, 8254 Atlee Road, Mechanicsville, VA 23116 | 2019-07-15 |
1275092850 | Melissa Harp Harden | Occupational Therapist | 9366 Count Kristopher Dr, Mechanicsville, VA 23116 | 2019-03-13 |
1467969105 | Lynsey Marie Preisner | Physician Assistant | 8262 Atlee Road Suite 202, Mechanicsville, VA 23116 | 2018-01-03 |
1912437526 | Kim S Hammonds | Nurse Practitioner | 8102 Braxton Court, Mechanicsville, VA 23116 | 2017-06-15 |
1023547528 | Gina Elysia Wurfel | Social Worker | 9126 Ashlar Pl, Mechanicsville, VA 23116 | 2017-06-08 |
1063945624 | Lisa Gervasoni | Occupational Therapist | 8254 Attlee Road, Mechanicsville, VA 23116 | 2017-04-10 |
1679006308 | Kerri Eggleston | Physical Therapist | 8226 Meadowbridge Road, Mechanicsville, VA 23116 | 2017-04-10 |
1659823466 | Mechanicsville Chemist LLC | Pharmacy | 8324 Bell Creek Road, Suite Number 800, Mechanicsville, VA 23116 | 2016-10-27 |
Find all providers in zip 23116 |
Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699202309 | Jessica Brooks | Psychologist | 8105 Belton Cir, Mechanicsville, VA 23116-4056 | 2017-05-12 |
1770894818 | Sonia Robena Banks | Psychologist | 9085 Shady Grove Rd, Mechanicsville, VA 23116-2837 | 2010-06-23 |
1699941146 | Bruce David Rybarczyk | Psychologist | 9935 Revolutionary Pl, Mechanicsville, VA 23116-6620 | 2008-05-05 |
1548809106 | Michele Laaksonen | Psychologist | 9202 Center Oak Ct, Mechanicsville, VA 23116-2744 | 2019-12-31 |
1952836991 | Stephanie Malozzi | Psychologist | 9202 Center Oak Ct, Mechanicsville, VA 23116-2744 | 2017-04-27 |
1306239231 | Emily Parobek | Psychologist | 9202 Center Oak Ct, Mechanicsville, VA 23116-2744 | 2015-03-17 |
1073942454 | Anthony C. Melchiorre | Psychologist | 8254 Atlee Rd, Mechanicsville, VA 23116-1844 | 2013-11-05 |
1902238876 | Andrew Matthew Stone | Psychologist | 9202 Center Oak Ct, Mechanicsville, VA 23116-2744 | 2013-08-02 |
1083973275 | Marissa Elizabeth Jarrett | Psychologist | 9097 Atlee Station Rd, Suite 219, Mechanicsville, VA 23116-2525 | 2012-05-09 |
1548495716 | Jennifer E Wartella | Psychologist | 8254 Atlee Rd, Mechanicsville, VA 23116-1844 | 2009-05-18 |
Find all providers in MECHANICSVILLE |
City | MECHANICSVILLE |
Zip Code | 23116 |
Please comment or provide details below to improve the information on DR. MICHAEL S ELLWOOD.
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.