ELLSWORTH FERSCH


Address: 70 Richdale Ave Apt 2, Cambridge, MA 02140-2640
Phone: 9783698412

ELLSWORTH FERSCH (NPI# 1871089227) 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) 1871089227
Entity Type Individual
Full Name ELLSWORTH FERSCH
Practice Address 70 Richdale Ave Apt 2
Cambridge
MA 02140-2640
Practice Telephone 9783698412
Mailing Telephone 9783698412
Enumeration Date 2018-07-09
Last Update Date 2018-07-09
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
1027 MA Behavioral Health & Social Service Providers

Office Location

Street Address 70 RICHDALE AVE APT 2
City CAMBRIDGE
State MA
Zip Code 02140-2640

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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1114537131 Annemarie Baldauf, Psyd, Pllc Psychologist 49 Hancock St Ste 104, Cambridge, MA 02139-3188 2020-08-04
1881216588 Massomeh Namavar Psychologist 221 Mount Auburn St Apt 104, Cambridge, MA 02138-4848 2020-05-15
1396367736 Laura Genelle Meza Valencia Psychologist One Mifflin Place, Suite 400, Cambridge, MA 02138-4946 2020-05-07
1033672100 Dr Kerrie LLC Psychologist 10 Hawthorne Park, Cambridge, MA 02138-2104 2019-04-07
1912481227 Mary E. Ford Psychologist 195 Harvey St, Cambridge, MA 02140-1765 2018-09-21
1134610751 Jill Hooley Psychologist 33 Kirkland St, Cambridge, MA 02138-2044 2018-05-21
1053836080 Kim Michael Woynowskie Jr. Psychologist 625 Mount Auburn St Ste 102, Cambridge, MA 02138-4555 2017-08-10
1306383351 Elise I Welton Psychologist 22 Water St, Apt. 411, Cambridge, MA 02141-1257 2017-01-30
1174984827 Jenna Mezin Schmid Psychologist 75 Mt Auburn St 4 East, Harvard University Health Services, Cambridge, MA 02138 2016-03-09
1083084222 Cherish Deoliveira Psychologist 875 Massachusetts Ave Ste 43, Cambridge, MA 02139-3067 2015-09-30
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Competitor

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City CAMBRIDGE
Zip Code 02140

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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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