NPIMap

Organization Active NPI

Ellenbecker and Borsellino PLLC

  • Speech-Language Pathologist
  • Madison, TN
National Provider Identifier
1215499447
Registry record updated Jul 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
ELLENBECKER AND BORSELLINO PLLC
Practice address
1994 Gallatin Pike N Ste 202
Madison, TN 37115-2024
Phone
(615) 596-1830
Fax
(615) 766-8277
NPI assigned
Apr 5, 2019
Organization subpart
Yes
Parent organization
ELLENBECKER AND BORSELLINO PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 9, 2021

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

Authorized official

Name
Angie Dawn Ellenbecker, MS, CCC-SLPNPI 1457518417
Title
Owner/President
Phone
(615) 596-1830

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
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X Primary
Hearing and Speech Clinic/Center 261QH0700X

Addresses

Primary practice location

1994 Gallatin Pike N Ste 202
Madison, TN 37115-2024

Mailing address

1994 Gallatin Pike N Ste 202
Madison, TN 37115-2024
Phone (615) 596-1830

Other practice location 1

1994 Gallatin Pike N Ste 309
Madison, TN 37115-2025
Phone (615) 596-1830

Other identifiers 1

IdentifierTypeStateIssuer
1457518417MedicaidNV

Other names 1

  • Talk to Me Speech Therapy TN Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190614001607 TN Part B Supplier - Clinic/Group Practice 3971836412 Receives reassigned benefits from 7 practitioners
Practice locations: Madison, TN

National Provider Directory

National Provider Directory
Tax ID family
Ellenbecker and Borsellino PLLC2 organizations share this tax ID, including this one
Part of
Ellenbecker and Borsellino PLLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1994 Gallatin Pike N
Ste 202
Madison, TN 37115
Phone (615) 596-1830

113 Cumberland Ave
Ste 110
Madison, TN 37115
Phone (615) 596-1830

1994 Gallatin Pike N
Ste 309
Madison, TN 37115
Phone (615) 596-1830

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 36

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 36

NPI Registry JSON

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

{
    "created_epoch": "1554422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625788800000",
    "number": "1215499447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1994 GALLATIN PIKE N STE 202",
            "city": "MADISON",
            "state": "TN",
            "postal_code": "371152024",
            "telephone_number": "615-596-1830",
            "fax_number": "615-766-8277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1994 GALLATIN PIKE N STE 202",
            "city": "MADISON",
            "state": "TN",
            "postal_code": "371152024",
            "telephone_number": "615-596-1830",
            "fax_number": "615-766-8277"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1994 Gallatin Pike N Ste 309",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "TN",
            "postal_code": "371152025",
            "country_code": "US",
            "telephone_number": "615-596-1830",
            "fax_number": "615-766-8277",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ELLENBECKER AND BORSELLINO PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ELLENBECKER AND BORSELLINO PLLC",
        "enumeration_date": "2019-04-05",
        "last_updated": "2021-07-09",
        "certification_date": "2021-07-09",
        "status": "A",
        "authorized_official_last_name": "ELLENBECKER",
        "authorized_official_first_name": "ANGIE",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "615-596-1830",
        "authorized_official_credential": "MS, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1457518417",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Talk to Me Speech Therapy TN",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Talk to Me Speech Therapy TN",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Madison, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2021; 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.