Individual provider Active NPI

James M Ellison, MD

  • Geriatric Psychiatry Physician
  • Philadelphia, PA
National Provider Identifier
1144226630
Registry record updated Aug 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Psychiatry PhysicianTaxonomy code 2084P0805X
License
MD476205 Issued in PA
Practice address
33 S 9TH St
Philadelphia, PA 19107-4414
Phone
(617) 233-8623
Fax
(844) 634-0254
NPI assigned
Jun 21, 2005
Last updated
Aug 25, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 44908 MA
Geriatric Psychiatry Physician 2084P0805X 44908 MA
Geriatric Psychiatry Physician 2084P0805X MD476205 PA Primary

Addresses

Primary practice location

33 S 9TH St
Philadelphia, PA 19107-4414

Mailing address

124 Spice Mill LN
Wilmington, DE 19808-3300
Phone (617) 233-8623

Other practice location 1

1046 Main St Ste 8
Osterville, MA 02655-1580
Phone (617) 233-8623

Other identifiers 1

IdentifierTypeStateIssuer
0164127MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, DE, PA3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20041124000598 MA Practitioner - Psychiatry 4789649161 Reassigns benefits to 1 organization
Practice locations: Osterville, MA
I20150922001183 DE Practitioner - PsychiatryPractitioner - Geriatric Psychiatry 4789649161 Reassigns benefits to 3 organizations
I20230627002000 PA Practitioner - Psychiatry 4789649161 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of California, San Francisco School of Medicine, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Jefferson University PhysiciansGroup PAC ID 7911819180, 1,528 clinicians

Practice addresses (Care Compare)

33 S 9TH St
210 Jefferson Dept of Psychiatry
Philadelphia, PA 19107-4408
Phone (215) 955-8420

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
44908MAMDPsychiatry Physician
C-0011443DEMDGeriatric Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Christiana Care Health Services, Inc Psychiatry CurrentSince Sep 7, 2015 Accepting new patients
Jefferson University Physicians CurrentSince Jul 1, 2023 Accepting new patients
The Commonwealth of Massachusetts CurrentSince Oct 16, 2025 Accepting new patients
Christiana Care Health Services Inc CurrentSince Oct 1, 2015 Accepting new patients
Beebe Physician Network, Inc. CurrentSince Aug 25, 2023 Accepting new patients
The Commonwealth of Massachusetts CurrentSince Oct 16, 2025 Accepting new patients
Christiana Care Health Services, Inc Current Accepting new patients
The Commonwealth of Massachusetts Current Accepting new patients
Christiana Care Health Services Inc CurrentSince Sep 7, 2015 Accepting new patients
State of Delaware-Stockley CurrentSince Aug 25, 2023 Accepting new patients
Christiana Care Health Services, Inc Past Accepting new patients

Locations

701 Savannah Rd
Ste B
Lewes, DE 19958
Phone (302) 645-1099

32060 Long Neck Rd
Millsboro, DE 19966
Phone (302) 645-3150

32550 Docs Pl
Unit 2
Millville, DE 19967
Phone (302) 539-4302

100 Sunnyside Rd
#2
Smyrna, DE 19977
Phone (302) 653-1900

205 W 14th St
Ste 100A
Wilmington, DE 19801
Phone (302) 320-2620

501 W 14th St
Wilmington, DE 19801
Phone (302) 320-4411

501 W 14th St
Bldg 5TH
Wilmington, DE 19801
Phone (302) 320-2620

830 County Rd
Pocasset, MA 02559
Phone (508) 564-9600

60 Hodges Ave
Taunton, MA 02780
Phone (508) 977-3134

925 Chestnut St
Fl 6
Philadelphia, PA 19107
Phone (215) 955-6760

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1119312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787616000000",
    "number": "1144226630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 SPICE MILL LN",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198083300",
            "telephone_number": "617-233-8623",
            "fax_number": "844-634-0254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 S 9TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191074414",
            "telephone_number": "617-233-8623",
            "fax_number": "844-634-0254"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1046 Main St Ste 8",
            "address_purpose": "LOCATION",
            "city": "Osterville",
            "state": "MA",
            "postal_code": "026551580",
            "country_code": "US",
            "telephone_number": "617-233-8623",
            "fax_number": "844-634-0254",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELLISON",
        "first_name": "JAMES",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-21",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "44908",
            "primary": false
        },
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "MA",
            "license": "44908",
            "primary": false
        },
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "PA",
            "license": "MD476205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0164127",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.