Ellis Therapy Associates

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6301007514 Issued in MI

Legal business name

ELLIS THERAPY ASSOCIATES

Practice address

2001 Hudson Ave
Kalamazoo, MI 49008-1889

Phone

(269) 341-9725

NPI assigned

Aug 12, 2014

Organization subpart

No

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

Authorized official

Name

Ms. Catherine E Ellis, MA,LLP

Title

Psychotherapist

Phone

(269) 341-9725

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1407801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485993600000",
    "number": "1407265663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 HUDSON AVE",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490081889",
            "telephone_number": "269-341-9725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 HUDSON AVE",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490081889",
            "telephone_number": "269-341-9725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLIS THERAPY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-12",
        "last_updated": "2017-02-02",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "269-341-9725",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA,LLP"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401004435",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301007514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tamer Elkafrawy
• Aleyda Christine Elliott, CNM
• Katharina E Elliott
• Latoya Jekema Elliott
• Sarah Elliott, PHARMD
• Anna Ellis
• Catherine E Ellis, M.A.
• Jenna Ellis
• Julia Ann Ellis, LPC, LMT
• Marcia Ellis, PA

• Clinical Psychologist in Kalamazoo, MI
• Providers in Kalamazoo, MI by specialty
• Clinical Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2017; 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.