Ellen Ann Powers, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY11253 Issued in CA

Practice address

4201 Long Beach Blvd
Ste. 230
Long Beach, CA 90807-2007

Phone

(562) 988-1000

Fax

(562) 426-5211

NPI assigned

Oct 6, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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.

• Pacific Resources Psychological Group

  • Group Psychotherapy Psychologist
  • Long Beach, CA
  • NPI 1679665939
  NPD (past) Authorized official

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390953600000",
    "number": "1467549774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 LONG BEACH BLVD",
            "address_2": "STE. 230",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908072007",
            "telephone_number": "562-988-1000",
            "fax_number": "562-426-5211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 LONG BEACH BLVD",
            "address_2": "STE. 230",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908072007",
            "telephone_number": "562-988-1000",
            "fax_number": "562-426-5211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWERS",
        "first_name": "ELLEN",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-06",
        "last_updated": "2014-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY11253",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY11253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mike Powell, P.T.
• Simone Powell, M.D.
• Power Play OT
• Power Word: Heal, a Professional Marriage and Family Therapist Corporation
• Powerful Minds Daily LLC
• Mary Powers, M.D., F.A.C.S.
• Toby Powers
• Dajuan Donte Powns, CRM, PSS
• Stacy Pozas
• Alexander Giovani Prado

• Clinical Psychologist in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2014; 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.