Gayle M. Ellis

Primary specialty

Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X

Practice address

700 Ray O Vac Dr
Suite 220
Madison, WI 53711-2479

Phone

(608) 276-9191

Fax

(608) 276-9144

NPI assigned

Dec 27, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Family Therapy Center of Madison, Inc.

  • Clinical Social Worker
  • Madison, WI
  • NPI 1164587150
  NPD (past)
• Peter C. Jackson, PSYD Consulting, SC

  • Clinical Psychologist
  • Madison, WI
  • NPI 1881058675
  NPD (past)

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1295890259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 RAY O VAC DR",
            "address_2": "SUITE 220",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537112479",
            "telephone_number": "608-276-9191",
            "fax_number": "608-276-9144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 RAY O VAC DR",
            "address_2": "SUITE 220",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537112479",
            "telephone_number": "608-276-9191",
            "fax_number": "608-276-9144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "GAYLE",
        "middle_name": "M.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-27",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WI",
            "license": "2432-057",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WI",
            "license": "1526-033",
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3914300",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Elizabeth Elliott, PHARMD
• Mekinzee Mae Elliott, MD
• Patrick S Elliott, DDS
• Caitlin Ellis, LPC
• Christine Ellis, M.A., M.S., LPC
• Molly Ellis, RD, DC
• Rachel Ellis, LCSW, SAC-IT
• Richard L Ellis, MD
• Ashli L Ellison, NP
• Elizabeth Laurie Ellison, MS LMFT

• Psychiatric/Mental Health Registered Nurse in Madison, WI
• Providers in Madison, WI by specialty
• Psychiatric/Mental Health Registered Nurse in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.