Active NPI
Ernest C. Ellender, PH.D.
- Clinical Psychologist
- Houma, LA
National Provider Identifier
1457638231
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 1159
- Practice address
- 309 Goode St Ste 3E
Houma, LA 70360-5423 - Phone
- (985) 991-4214
- NPI assigned
- Nov 8, 2011
- Last updated
- Mar 18, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 1159 | LA | Primary |
Addresses
Primary practice location
309 Goode St Ste 3E
Houma, LA 70360-5423
Mailing address
303 Gabasse St
Houma, LA 70360-4609
Phone (985) 991-4214
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1159 | LA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psychological Health Care of South Louisiana | Past | Accepting new patients | |
| Touchstone Center, LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
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- Houma, LA
- NPI 1134418502
-
- Behavior Analyst
- Thibodaux, LA
- NPI 1972924314
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1320710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616025600000",
"number": "1457638231",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "303 GABASSE ST",
"city": "HOUMA",
"state": "LA",
"postal_code": "703604609",
"telephone_number": "985-991-4214"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "309 GOODE ST STE 3E",
"city": "HOUMA",
"state": "LA",
"postal_code": "703605423",
"telephone_number": "985-991-4214"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELLENDER",
"first_name": "ERNEST",
"middle_name": "C.",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-11-08",
"last_updated": "2021-03-18",
"certification_date": "2021-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "LA",
"license": "1159",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houma, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.