NPIMap

Organization Active NPI

Dana Ellsmore

  • Addiction (Substance Use Disorder) Counselor
  • Somerville, MA
National Provider Identifier
1013283134
Registry record updated Mar 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Legal business name
DANA ELLSMORE
Practice address
260 Beacon St
Somerville, MA 02143-3534
Phone
(617) 661-5700
NPI assigned
Mar 23, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2012

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

Authorized official

Name
Mr. Dana H. Ellsmore
Title
Clinician
Phone
(617) 661-5700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YA0400X Primary

Addresses

Primary practice location

260 Beacon St
Somerville, MA 02143-3534

Mailing address

260 Beacon St
Somerville, MA 02143-3534
Phone (617) 661-5700

National Provider Directory

National Provider Directory
Tax ID family
North Charles Mental Health2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1332460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332460800000",
    "number": "1013283134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 BEACON ST",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021433534",
            "telephone_number": "617-661-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 BEACON ST",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021433534",
            "telephone_number": "617-661-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANA ELLSMORE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-23",
        "last_updated": "2012-03-23",
        "status": "A",
        "authorized_official_last_name": "ELLSMORE",
        "authorized_official_first_name": "DANA",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "CLINICIAN",
        "authorized_official_telephone_number": "617-661-5700",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerville, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2012; 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.