Ellen D Doyle, APN,PMHNP-C,FNP-C

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

26NJ00707600 Issued in NJ

Practice address

1420 S New Rd Unit 9
Pleasantville, NJ 08232-3728

Phone

(609) 200-5117

Fax

(609) 939-3671

NPI assigned

Oct 9, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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 Specialist, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Pleasantville, NJ
  • NPI 1366908303

  NJ

  Medicare reassignment Authorized official

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

{
    "created_epoch": "1223510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728518400000",
    "number": "1174774061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 S NEW RD UNIT 9",
            "city": "PLEASANTVILLE",
            "state": "NJ",
            "postal_code": "082323728",
            "telephone_number": "609-200-5117",
            "fax_number": "609-939-3671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 S NEW RD UNIT 9",
            "city": "PLEASANTVILLE",
            "state": "NJ",
            "postal_code": "082323728",
            "telephone_number": "609-200-5117",
            "fax_number": "609-939-3671"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1940 W Allegheny Ave",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191321614",
            "country_code": "US",
            "telephone_number": "267-335-1500",
            "fax_number": "267-286-8250",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "305 Sanderling Ln",
            "address_purpose": "LOCATION",
            "city": "Pleasantville",
            "state": "NJ",
            "postal_code": "082322902",
            "country_code": "US",
            "telephone_number": "215-920-2444",
            "fax_number": "609-939-3671",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOYLE",
        "first_name": "ELLEN",
        "middle_name": "D",
        "credential": "APN,PMHNP-C,FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-09",
        "last_updated": "2024-10-10",
        "certification_date": "2024-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00707600",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP00425B",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP004252B",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ00707600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diane Demaio-Feldman, PHD
• Jacqueline M. Deniz, MSW, LSW
• Darline Desamours, SOCIAL WORKER
• Kieyanah Dokyi, LSW
• Victoria Dorsey
• Sara Draper
• Olanda R Dreher
• DRS. Pritz & Gray Eyecare
• Egg Harbor Township School District
• Alecia M Ellis

• All providers in Pleasantville, NJ
• Psychiatric/Mental Health Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.