Ellis Psychotherapy, Training & Consultation

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

ELLIS PSYCHOTHERAPY, TRAINING & CONSULTATION

Practice address

21 Farnham Ave Apt 1
New Haven, CT 06515-1265

Phone

(475) 441-4082

NPI assigned

Oct 19, 2021

Organization subpart

No

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

Authorized official

Name

Sylvadra Ellis, LCSWNPI 1447667571

Title

Owner/Clinical Director

Phone

(475) 441-4082

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sylvadra Ellis, MSW

  • Clinical Social Worker
  • New Haven, CT
  • NPI 1447667571
  NPD Authorized official

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

{
    "created_epoch": "1634601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634688000000",
    "number": "1013670868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 DIXWELL AVE # 239",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065113403",
            "telephone_number": "475-441-4082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 FARNHAM AVE APT 1",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065151265",
            "telephone_number": "475-441-4082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLIS PSYCHOTHERAPY, TRAINING & CONSULTATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-19",
        "last_updated": "2021-10-20",
        "certification_date": "2021-10-20",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "SYLVADRA",
        "authorized_official_title_or_position": "OWNER/CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "475-441-4082",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ella Behavioral Health and Consulting LLC
• Kyle Elligers, M.D.
• Bryce Elliott, PHARMD
• Eric Isaac Elliott, MD, PHD
• Mitchell James Clarke Elliott, MD
• Chereen Lizbeth Ellis-Chambers
• Michael Shawn Ellis, LPC
• Natalie Ellis
• Sherrill G Ellis, CCC-SLP
• Sylvadra Ellis, MSW

• Community/Behavioral Health Agency in New Haven, CT
• Providers in New Haven, CT by specialty
• Community/Behavioral Health Agency in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2021; 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.