Kate M Ellison

Primary specialty

SpecialistTaxonomy code 174400000X

Practice address

404 E 91St St
New York, NY 10128-6807

Phone

(646) 565-1846

Fax

(917) 639-3367

NPI assigned

Jan 24, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Association to Benefit Children

  • Early Intervention Provider Agency
  • New York, NY
  • NPI 1740433374
  NPD (past)

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

{
    "created_epoch": "1706054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719964800000",
    "number": "1336901529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 E 105TH ST APT 1N",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100295066",
            "telephone_number": "845-702-0067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 E 91ST ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101286807",
            "telephone_number": "646-565-1846",
            "fax_number": "917-639-3367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLISON",
        "first_name": "KATE",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-24",
        "last_updated": "2024-07-03",
        "certification_date": "2024-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracey M Ellis, LMHC
• Morgan Ellisberg
• Joanne Celeste Ellison, RPA-C
• Julia Taylor Ellison, MSN, FNP-C, CMSRN
• Kalin Ellison, MD
• Lyndsay Ellison
• Thomas Douglas Ellison, MA, CCC-SLP, TSSLD
• Trevor Ellison, MD
• Elliston and NG, MD, LLC
• Elliston Health, PLLC

• Specialist in New York, NY
• Providers in New York, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2024; 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.