KERRY ELLIS


Address: 190 High St Apt 210, Medford, MA 02155-3810
Phone: 3392237727

KERRY ELLIS (NPI# 1649767203) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1649767203
Entity Type Individual
Full Name KERRY ELLIS
Practice Address 190 High St Apt 210
Medford
MA 02155-3810
Practice Telephone 3392237727
Mailing Telephone 3392237727
Enumeration Date 2018-04-19
Last Update Date 2018-04-19
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
Behavioral Health & Social Service Providers

Other Providers KERRY ELLIS

NPI Name Taxonomy Address Enumeration
1134631757 Kerry Ellis Social Worker 1111 Benfield Blvd Ste 104, Millersville, MD 21108-3003 2017-11-05

Office Location

Street Address 190 HIGH ST APT 210
City MEDFORD
State MA
Zip Code 02155-3810

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1679113922 Elena Chapman Nurse Practitioner 293 Salem St 4, Medford, MA 02155 2020-01-14
1922658830 Michelle Anne Zona Counselor 100 George Hassett Dr, Medford, MA 02155 2019-09-13
1487138509 Dava Davainis Social Worker 76 Newbern Avenue, Apt. 1, Medford, MA 02155 2018-09-25
1265915128 Erin Roberts Counselor Medford Public Schools, 3002 Mystic Valley Pkwy, Medford, MA 02155 2018-09-07
1871075739 Janice Madeline Cole Social Worker 3820 Mystic Valley Pkwy Unit 805, Medford, MA 02155 2018-09-06
1447732573 Mystick Women's Health, Inc. Obstetrics & Gynecology 13 Bradlee Road, Medford, MA 02155 2018-09-05
1144713090 Laura Rogers Psychologist 203 Paige Hall, 12 Upper Campus Road, Medford, MA 02155 2018-06-14
1871086694 Shuo Yang Dentist 8 9th St Apt 310, Medford, MA 02155 2018-06-07
1891287108 Xuhua Qin Psychologist 120 Curtis Street, Medford, MA 02155 2018-06-01
1568953529 Cvs Pharmacy, Inc. Durable Medical Equipment & Medical Supplies 471 Salem St, Medford, MA 02155 2018-05-25
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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1952911091 Araceli Olivares Mciff Counselor 201 W 6th St Ste 101, Medford, OR 97501-2708 2020-08-04
1366069494 Brian Snapp Counselor 1191 Hazel St, Medford, OR 97501 2020-07-06
1477174761 Corey Renfree Counselor 1191 Hazel Street, Medford, OR 97501 2020-04-28
1326674417 Jean Yih Kingston Counselor Dcs Mental Health Medford, 151 Mystic Avenue, Medford, MA 02155-4632 2020-03-20
1063059228 Chiron Center Incorporated Counselor 2909 N Phoenix Rd, Medford, OR 97504-9490 2019-12-06
1790321784 Cassandra F Lawrence Counselor 1503 Race Ave, Medford, NY 11763-1859 2019-11-25
1427691955 Claire Elizabeth Ann Vos Counselor 807 Impala Dr, Medford, WI 54451-1206 2019-10-28
1033768718 Hope Koram Counselor 15 Carberry St, Medford, MA 02155-1804 2019-09-05
1942701271 Winding Tree Counseling Services LLC Counselor 916 W 10th St Ste 100, Medford, OR 97501-3018 2018-02-22
1518479518 Kara Bocchino Counselor 2839 Route 112, Medford, NY 11763-1403 2017-10-30
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Competitor

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City MEDFORD
Zip Code 02155

Improve Information

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Dataset Information

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.

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