Ellie of Maryland LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

ELLIE OF MARYLAND LLC

Practice address

900 Bestgate Rd Ste 210
Annapolis, MD 21401-7922

Phone

(410) 267-3706

Fax

(443) 782-3476

NPI assigned

Mar 6, 2023

Organization subpart

No

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

Authorized official

Name

Michael Stamper

Title

Franchise Owner

Phone

(443) 336-9745

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Naomi J Weller, LCSW-C

  • Clinical Social Worker
  • Columbia, MD
  • NPI 1740301811
  NPD

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

{
    "created_epoch": "1678060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678060800000",
    "number": "1457051831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 BESTGATE RD STE 210",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214017922",
            "telephone_number": "410-267-3706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 BESTGATE RD STE 210",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214017922",
            "telephone_number": "410-267-3706",
            "fax_number": "443-782-3476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLIE OF MARYLAND LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-06",
        "last_updated": "2023-03-06",
        "certification_date": "2023-03-06",
        "status": "A",
        "authorized_official_last_name": "STAMPER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "FRANCHISE OWNER",
        "authorized_official_telephone_number": "443-336-9745"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elite Excellence LLC
• Elizabeth a Parker MD LLC
• Elizabeth a Parker MD LLC
• Elizabeth Harris Nutrition and Wellness
• Sarah Elkhoga
• Ellie of Maryland LLC
• Olivia Willow Elliot, RBT
• Christina Tran Elliott
• Natalie Elliott
• Ross D Elliott

• Psychiatric/Mental Health Nurse Practitioner in Annapolis, MD
• Providers in Annapolis, MD by specialty
• Psychiatric/Mental Health Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2023; 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.