NPIMap

Organization Active NPI

Metrowest Mental Health Services, PLLC

Doing business as Ellie Mental Health

  • Psychologist
  • Framingham, MA
National Provider Identifier
1265290886
Registry record updated Oct 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
METROWEST MENTAL HEALTH SERVICES, PLLC
Doing business as
Ellie Mental Health
Practice address
111 Speen St Ste 110
Framingham, MA 01701-2000
Phone
(508) 290-5156
Fax
(508) 443-6024
NPI assigned
Mar 8, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2024

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

Authorized official

Name
Sarah Ann PreveligeNPI 1265668818
Title
Clinic Director
Phone
(508) 478-0126

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
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X Primary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X

Addresses

Primary practice location

111 Speen St Ste 110
Framingham, MA 01701-2000

Mailing address

111 Speen St Ste 110
Framingham, MA 01701-2000
Phone (508) 290-5156

Other names 1

  • Ellie Mental Health Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241212000042 MA Part B Supplier - Clinic/Group Practice 3476089509 Receives reassigned benefits from 4 practitioners
Practice locations: Framingham, MA

National Provider Directory

National Provider Directory

Locations

111 Speen St
Framingham, MA 01701
Phone (508) 444-2223

111 Speen St
Ste 110
Framingham, MA 01701
Phone (508) 290-5156

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1709856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729814400000",
    "number": "1265290886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 SPEEN ST STE 110",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "017012000",
            "telephone_number": "508-290-5156",
            "fax_number": "508-443-6024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 SPEEN ST STE 110",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "017012000",
            "telephone_number": "508-290-5156",
            "fax_number": "508-443-6024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METROWEST MENTAL HEALTH SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-08",
        "last_updated": "2024-10-25",
        "certification_date": "2024-10-25",
        "status": "A",
        "authorized_official_last_name": "PREVELIGE",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "508-478-0126"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ellie Mental Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Framingham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 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.