NPIMap

Organization Active NPI

Ellison & Associates of Raleigh PC

  • Psychiatry Physician
  • Raleigh, NC
National Provider Identifier
1396950630
Registry record updated Jul 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
ELLISON & ASSOCIATES OF RALEIGH PC
Practice address
2920 Highwoods Blvd
Suite 127
Raleigh, NC 27604-1015
Phone
(919) 872-5220
Fax
(919) 872-5770
NPI assigned
May 11, 2007
Last updated
Jul 21, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2008

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

Authorized official

Name
Dr. Maxlyn Lavie Ellison, MDNPI 1386859627
Title
President & Chief Exec Off
Phone
(919) 872-5220

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X NU Primary
Child & Adolescent Psychiatry Physician 2084P0804X NU

Addresses

Primary practice location

2920 Highwoods Blvd
Suite 127
Raleigh, NC 27604-1015

Mailing address

2920 Highwoods Blvd
Suite 127
Raleigh, NC 27604-1015
Phone (919) 872-5220

National Provider Directory

National Provider Directory

Locations

2301 Rexwoods Dr
Ste 102
Raleigh, NC 27607
Phone (919) 787-1932

2920 Highwoods Blvd
Ste 127
Raleigh, NC 27604
Phone (919) 872-5220

Practitioners & affiliated clinicians

Practitioners 3

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": "1178841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216598400000",
    "number": "1396950630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2920 HIGHWOODS BLVD",
            "address_2": "SUITE 127",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276041015",
            "telephone_number": "919-872-5220",
            "fax_number": "919-872-5770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2920 HIGHWOODS BLVD",
            "address_2": "SUITE 127",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276041015",
            "telephone_number": "919-872-5220",
            "fax_number": "919-872-5770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLISON & ASSOCIATES OF RALEIGH PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-11",
        "last_updated": "2008-07-21",
        "status": "A",
        "authorized_official_last_name": "ELLISON",
        "authorized_official_first_name": "MAXLYN",
        "authorized_official_middle_name": "LAVIE",
        "authorized_official_title_or_position": "PRESIDENT & CHIEF EXEC OFF",
        "authorized_official_telephone_number": "919-872-5220",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2008; 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.