Ellen L. Gentner, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY0003704 Issued in FL

Practice address

108 W Citrus St
Altamonte Springs, FL 32714-2502

Phone

(407) 682-6330

Fax

(407) 682-5972

NPI assigned

Nov 1, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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.

• Ellen Gentner PHD PA

  • Clinical Psychologist
  • Altamonte Springs, FL
  • NPI 1306967138
  NPD (past) Authorized official

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376620864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 W CITRUS ST",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327142502",
            "telephone_number": "407-682-6330",
            "fax_number": "407-682-5972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 W CITRUS ST",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327142502",
            "telephone_number": "407-682-6330",
            "fax_number": "407-682-5972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENTNER",
        "first_name": "ELLEN",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY0003704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gayle Enterprises, Inc.
• Marven Gee
• Genesis Caretenders Services LLC
• Gentle Home Care of Central Florida LLC
• Gentle Home Care of Central Florida LLC
• Elijah George, MA, LMHC
• Jenet Mammen George, MD
• Georges United, LLC
• Prad A Georges, MS
• Get Well Express Urgent Care & Walk in Clinic, LLC

• Clinical Psychologist in Altamonte Springs, FL
• Providers in Altamonte Springs, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.