Organization Active NPI

Rebecca Ellinger Psy. D., P. a.

  • Clinical Psychologist
  • Delray Beach, FL
National Provider Identifier
1265934111
Registry record updated Dec 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY4112 Issued in FL
Legal business name
REBECCA ELLINGER PSY. D., P. A.
Practice address
1067 Circle Dr Apt a
Delray Beach, FL 33445-3044
Phone
(561) 498-5300
Fax
(561) 498-5301
NPI assigned
Mar 7, 2018
Last updated
Dec 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2023

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

Authorized official

Name
Dr. Rebecca S EllingerNPI 1255432423
Title
Clinical Psychologist
Phone
(561) 498-5300

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X PY4112 FL Primary

Addresses

Primary practice location

1067 Circle Dr Apt a
Delray Beach, FL 33445-3044

Mailing address

1067 Circle Dr Apt a
Delray Beach, FL 33445-3044
Phone (561) 498-5300

Other names 1

  • Ellinger & Ellinger Psy.D., P.A. Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180706000695 FL Part B Supplier - Clinic/Group Practice 9739435678 Receives reassigned benefits from 1 practitioner
Practice locations: Delray Beach, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1520380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701907200000",
    "number": "1265934111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1067 CIRCLE DR APT A",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334453044",
            "telephone_number": "561-498-5300",
            "fax_number": "561-498-5301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1067 CIRCLE DR APT A",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334453044",
            "telephone_number": "561-498-5300",
            "fax_number": "561-498-5301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REBECCA ELLINGER PSY. D., P. A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-07",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-07",
        "status": "A",
        "authorized_official_last_name": "ELLINGER",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "561-498-5300",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY4112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ellinger & Ellinger Psy.D., P.A.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Delray Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2023; 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.