Priscilla Ellis-White

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

8626 Lower Sacramento Rd
Suite #41
Stockton, CA 95210-1835

Phone

(209) 478-2487

Fax

(209) 478-1476

NPI assigned

Dec 18, 2011

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1324166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324166400000",
    "number": "1003185273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1779 ERICKSON CIR",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952066314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8626 LOWER SACRAMENTO RD",
            "address_2": "SUITE #41",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952101835",
            "telephone_number": "209-478-2487",
            "fax_number": "209-478-1476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIS-WHITE",
        "first_name": "PRISCILLA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-18",
        "last_updated": "2011-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Ellingsworth
• Joy Shaloma Elliott-Demars, PA-C
• Chad Elliott
• Lashray Elliott
• Madelyn Durham Elliott
• Christina Ellis
• Courtney Ellis
• Lincoln Douglas Ellis II
• Mia Ellis
• Michael Mario Ellis

• Addiction (Substance Use Disorder) Counselor in Stockton, CA
• Providers in Stockton, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.