Elemental Health

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

ELEMENTAL HEALTH

Practice address

56 Broad St Ste 51014
Boston, MA 02109-4301

Phone

(617) 858-0313

Fax

(617) 604-3849

NPI assigned

Jan 29, 2026

Last updated

Jan 29, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Matthew Stevens Ellam, CNPNPI 1083006696

Title

Owner

Phone

(617) 858-0313

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Matthew Ellam, CNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Brookline, MA
  • NPI 1083006696
  NPD Authorized official

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

{
    "created_epoch": "1769644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769644800000",
    "number": "1154271328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 BROAD ST STE 51014",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021094301",
            "telephone_number": "617-858-0313",
            "fax_number": "617-604-3849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 BROAD ST STE 51014",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021094301",
            "telephone_number": "617-858-0313",
            "fax_number": "617-604-3849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEMENTAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-29",
        "last_updated": "2026-01-29",
        "certification_date": "2026-01-29",
        "status": "A",
        "authorized_official_last_name": "ELLAM",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "STEVENS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-858-0313",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ahmad Elderie
• Allison Janet Elderkin, LICSW
• Karen Wiedemann Eldin, MD
• Chatham B Eldredge
• Ijeoma C Eleazu, MD
• Abdulaziz Elemosho
• Jared S Elenbaas, MD, PHD
• Elevate Health Cambridge
• Elevation Homecare Agency
• Samuel Theodore Eley, MD

• Psychiatric/Mental Health Nurse Practitioner in Boston, MA
• Providers in Boston, MA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2026; 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.