Organization Active NPI

Gra Therapy Solutions, LLC

Doing business as Ellie Mental Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Hollywood, FL
National Provider Identifier
1184269144
Registry record updated May 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
GRA THERAPY SOLUTIONS, LLC
Doing business as
Ellie Mental Health
Practice address
4601 Sheridan St Ste 400
Hollywood, FL 33021-3435
Phone
(954) 737-3957
Fax
(954) 281-4525
NPI assigned
Nov 14, 2019
Last updated
May 21, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2024

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

Authorized official

Name
Dr. Gregory Reid Adelstein, PSY.D, LMHCNPI 1003467861
Title
President
Phone
(754) 216-9883

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary
Adult Mental Health Clinic/Center 261QM0850X

Addresses

Primary practice location

4601 Sheridan St Ste 400
Hollywood, FL 33021-3435

Mailing address

3418 Ottawa LN
Hollywood, FL 33026-4616
Phone (754) 216-9883

Other practice location 1

3418 Ottawa Ln
Hollywood, FL 33026-4616
Phone (754) 216-9883

Other names 1

  • Ellie Mental Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250729004438 FL Part B Supplier - Clinic/Group Practice 7113434630 Receives reassigned benefits from 3 practitioners
Practice locations: Hollywood, FL

National Provider Directory

National Provider Directory

Locations

4601 Sheridan St
Ste 400
Hollywood, FL 33021
Phone (561) 617-3437

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1573689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716249600000",
    "number": "1184269144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3418 OTTAWA LN",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330264616",
            "telephone_number": "754-216-9883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 SHERIDAN ST STE 400",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330213435",
            "telephone_number": "954-737-3957",
            "fax_number": "954-281-4525"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3418 Ottawa Ln",
            "address_purpose": "LOCATION",
            "city": "Hollywood",
            "state": "FL",
            "postal_code": "330264616",
            "country_code": "US",
            "telephone_number": "754-216-9883",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GRA THERAPY SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-14",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A",
        "authorized_official_last_name": "ADELSTEIN",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "REID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "754-216-9883",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D, LMHC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ellie Mental Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.