DR. ELLEN ROSS (NPI# 1629511159) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629511159 |
| Entity Type | Individual |
| Full Name | DR. ELLEN ROSS |
| Credential | PSY.D. |
| Practice Address |
15200 Foothill Blvd San Leandro CA 94578-1013 |
| Practice Telephone | 5103529690 |
| Enumeration Date | 2016-12-01 |
| Last Update Date | 2016-12-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY27715 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083235428 | Ellen Faye Ross | Behavior Technician | 507 South Ave Apt 1, Pittsburgh, PA 15221-2846 | 2020-04-27 |
| 1699020271 | Ellen Ross | Physical Therapist | 4350 E Ray Rd Ste 101a, Phoenix, AZ 85044-4707 | 2012-07-19 |
| 1740895929 | Ellen Ross | Technician/Technologist | 32100 Telegraph Rd Ste 205, Bingham Farms, MI 48025-2454 | 2020-09-14 |
| 1902438013 | Ellen Ross | Occupational Therapist | 24 Park St, Pittsfield, MA 01201-4037 | 2020-02-06 |
| 1821505116 | Ellen Abra Ross | Student in an Organized Health Care Education/Training Program | 6100 Southcenter Blvd, Tukwila, WA 98188-2442 | 2018-01-08 |
| 1144538745 | Ellen Ross | Dentist | 1160 Johnson Ave, Suite 104, Bridgeport, WV 26330-1487 | 2010-09-16 |
| 1083740807 | Ellen I. Ross | Pediatrics | 833 Chestnut Street East, Suite 300, Jefferson Faculty Peds and Dupont Childrens Hlth Prog, Philadelphia, PA 19107-4405 | 2007-02-26 |
| 1225123870 | Ellen B. Ross | Psychoanalyst | 157 Genesee Street, Basement, Auburn, NY 13021-3461 | 2006-10-03 |
| 1518076108 | Ellen Ross | Physical Therapist | 10 Parsonage Rd, Suite 508, Edison, NJ 08837-2429 | 2006-08-29 |
| 1275572422 | Ellen Ross | Internal Medicine | 676 N Saint Clair St, Suite 415, Chicago, IL 60611-2927 | 2006-06-05 |
| Street Address |
15200 FOOTHILL BLVD |
| City | SAN LEANDRO |
| State | CA |
| Zip Code | 94578-1013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073695011 | Telecare Corporation | Community Based Residential Treatment Facility, Mental Illness | 15200 Foothill Blvd, San Leandro, CA 94578 | 2006-10-19 |
| 1427479039 | Luisito M. Roxas, M.d., P.C. | Community Based Residential Treatment Facility, Mental Illness | 15200 Foothill Blvd, San Leandro, CA 94578-1013 | 2013-12-27 |
| 1154566313 | Ann Cristina Elliott | Social Worker | 15200 Foothill Blvd, San Leandro, CA 94578-1013 | 2008-12-02 |
| 1932351855 | Maisie Lasher Ketron | Social Worker | 15200 Foothill Blvd, San Leandro, CA 94578-1013 | 2008-10-22 |
| 1073787727 | Roberyre Dianne Johnson | Social Worker | 15200 Foothill Blvd, San Leandro, CA 94578-1013 | 2008-04-14 |
| 1629251533 | Brian Gilbane | Social Worker | 15200 Foothill Blvd, Villa Fairmont Mhrc, San Leandro, CA 94578-1013 | 2007-12-13 |
| 1952584229 | Karin Jo Powlen | Social Worker | 15200 Foothill Blvd, San Leandro, CA 94578-1013 | 2007-12-10 |
| 1205019577 | May Tayeko Kawamoto | Marriage & Family Therapist | 15200 Foothill Blvd, San Leandro, CA 94578-1013 | 2007-12-10 |
| 1215050190 | Suzanne Margarete Bruch | Psychiatry & Neurology | 15200 Foothill Blvd, San Leandro, CA 94578-1013 | 2007-04-07 |
| 1104958198 | Stanislaus County | Community/Behavioral Health | 15200 Foothill Blvd, San Leandro, CA 94578-1013 | 2007-03-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952886327 | Keyla Itzel Monroy Rodriguez | Behavioral Analyst | 900 143rd Ave, Apt 269, San Leandro, CA 94578 | 2018-10-01 |
| 1962938340 | Shaylah Rigmaiden | Counselor | 3847 E14th St, #215, San Leandro, CA 94578 | 2017-05-04 |
| 1861864449 | Laurence Tang | Pharmacist | 13847 E. 14th Street, San Leandro, CA 94578 | 2015-10-22 |
| 1902227481 | Marissa Phan | Pharmacist | 15555 E. 14th Street #400, San Leandro, CA 94578 | 2013-12-30 |
| 1629403993 | Carly Renee Lucas | Counselor | 2257 Arlington Dr., San Leandro, CA 94578 | 2013-09-05 |
| 1871933317 | Javier Huerta | Counselor | 16335 E. 14th St, San Leandro, CA 94578 | 2013-06-28 |
| 1710231717 | Farida M Ismail | Non-emergency Medical Transport (VAN) | 1601 165th Ave, 107, San Leandro, CA 94578 | 2012-10-30 |
| 1487901989 | Amanda Dupuis | Counselor | 15942 Footlhill Blvd, San Leandro, CA 94578 | 2012-08-14 |
| 1629323506 | Mei Xiu Chua | Counselor | 13666 East 14th Street, San Leandro, CA 94578 | 2012-07-17 |
| 1730445644 | Nisreen Mesiwala Kothari | Ophthalmology | 15051 Hesperian Blvd Ste A, San Leandro, CA 94578 | 2012-04-04 |
| Find all providers in zip 94578 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861747552 | Jaseon S. Outlaw | Psychologist | 13847 E 14th St Ste 202, San Leandro, CA 94578-2626 | 2012-07-18 |
| 1831380146 | Mary Marth | Psychologist | 2500 Fairmont Drive, Guidance Clinic, San Leandro, CA 94578 | 2007-08-05 |
| 1982803169 | Kambiz Sakhai | Psychologist | 303 W Joaquin Ave Ste 100, San Leandro, CA 94577-3667 | 2007-07-17 |
| 1457559569 | Wana Shirgul Salehi | Psychologist | 2418 Fairway Dr, San Leandro, CA 94577-5411 | 2007-07-10 |
| 1932304052 | Myron John Gulseth | Psychologist | 13851 East 14th Street, Suite 203, San Leandro, CA 94578 | 2007-06-19 |
| 1114130978 | Erica Wandner | Psychologist | 13666 East 14th St, San Leandro, CA 94578 | 2007-05-08 |
| 1538204847 | Lori Ann Spampinato | Psychologist | 15250 Hesperian Blvd Ste 100, San Leandro, CA 94578-3962 | 2007-02-21 |
| 1649336793 | Rosemarie Ratto | Psychologist | 345 Estudillo Ave Ste 207, San Leandro, CA 94577-4727 | 2006-12-30 |
| 1578633491 | Joanna L Zygmont | Psychologist | 400 Estudillo Ave Ste 201, San Leandro, CA 94577-4900 | 2006-11-08 |
| 1922023241 | Ida M. Roberts | Psychologist | 433 Callan Ave, Ste 203, San Leandro, CA 94577-4643 | 2006-07-13 |
| Find all providers in SAN LEANDRO | ||||
| City | SAN LEANDRO |
| Zip Code | 94578 |
Please comment or provide details below to improve the information on DR. ELLEN ROSS.
| 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.