Ellen M Carroll, APRN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

2605 Issued in CT

Practice address

71 East Ave
Norwalk, CT 06851-4903

Phone

(203) 656-1452

Fax

(203) 656-1485

NPI assigned

Apr 26, 2007

Sex

Female

Sole proprietor

No

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

Enrolled in CT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Shoreline Psychiatry of Western Connecticut LLCGroup PAC ID 9133228695, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Pediatric Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Shoreline Psychiatry of Western Connecticut, LLC

  • Psychiatry Physician
  • Norwalk, CT
  • NPI 1134251564
  Medicare reassignment Care Compare group NPD
• Project Solutions, LLC

  • Community/Behavioral Health Agency
  • Sag Harbor, NY
  • NPI 1497566186
  NPD Authorized official

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743984000000",
    "number": "1467672097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 GLEN RIDGE RD",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068313657",
            "telephone_number": "203-531-1646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 EAST AVE",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068514903",
            "telephone_number": "203-656-1452",
            "fax_number": "203-656-1485"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "PO Box 308",
            "address_purpose": "LOCATION",
            "city": "Sag Harbor",
            "state": "NY",
            "postal_code": "119630007",
            "country_code": "US",
            "telephone_number": "203-550-3519",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5 Northview Dr",
            "address_purpose": "LOCATION",
            "city": "Sag Harbor",
            "state": "NY",
            "postal_code": "119632353",
            "country_code": "US",
            "telephone_number": "203-550-3519",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARROLL",
        "first_name": "ELLEN",
        "middle_name": "M",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-26",
        "last_updated": "2025-04-07",
        "certification_date": "2025-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NY",
            "license": "F 380919",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CT",
            "license": "2605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy Carlson, APRN
• Elisabeth Counselman Carpenter, LCSW
• Nicole Carreau, M.D.
• Emely Carreno Carreno
• Jeanne Carrillo
• Stephanie Carrow, L.C.S.W.
• Megan Carson, IHP, HHP
• John Joseph Caruso Jr., M.D.
• Richard Stephen Cassa, RPAC
• Tiffany Castelli, PHARMD

• Psychiatric/Mental Health Nurse Practitioner in Norwalk, CT
• Providers in Norwalk, CT by specialty
• Psychiatric/Mental Health Nurse Practitioner in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.