Active NPI
Grace Ellul
- Clinical Social Worker
- Royal Oak, MI
National Provider Identifier
1043921232
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 117 W 3Rd St
Royal Oak, MI 48067-3831 - Phone
- (249) 965-6605
- Fax
- (313) 335-3136
- NPI assigned
- Dec 8, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
117 W 3Rd St
Royal Oak, MI 48067-3831
Mailing address
1407 Whitcomb Ave
Royal Oak, MI 48073-2011
Phone (231) 735-4585
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Insync |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrative Psyche, LLC | Current | Accepting new patients |
Locations
10150 W National Ave
Ste 390
West Allis, WI 53227
Phone (414) 454-4430
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Psychologist
- Milwaukee, WI
- NPI 1255704565
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1670457600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741046400000",
"number": "1043921232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1407 WHITCOMB AVE",
"city": "ROYAL OAK",
"state": "MI",
"postal_code": "480732011",
"telephone_number": "231-735-4585"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "117 W 3RD ST",
"city": "ROYAL OAK",
"state": "MI",
"postal_code": "480673831",
"telephone_number": "249-965-6605",
"fax_number": "313-335-3136"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELLUL",
"first_name": "GRACE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-12-08",
"last_updated": "2025-03-04",
"certification_date": "2025-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Insync",
"affiliation": "N",
"address_1": "10150 W National Ave Ste 390",
"city": "West Allis",
"state": "WI",
"country_code": "US",
"postal_code": "532272145",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Royal Oak, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.