Organization Active NPI

Ellens Therapy Services LLC

  • Psychologist
  • Zeeland, MI
National Provider Identifier
1487350245
Registry record updated Feb 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
ELLENS THERAPY SERVICES LLC
Practice address
300 S State St Ste 13
Zeeland, MI 49464-1678
Phone
(616) 722-1733
NPI assigned
Feb 3, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2023

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

Authorized official

Name
Emily EllensNPI 1477595031
Title
Owner
Phone
(616) 722-1733

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

300 S State St Ste 13
Zeeland, MI 49464-1678

Mailing address

300 S State St Ste 13
Zeeland, MI 49464-1678
Phone (616) 722-1733

National Provider Directory

National Provider Directory

Locations

300 S State St
Ste 13
Zeeland, MI 49464
Phone (616) 722-1733

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1675382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675382400000",
    "number": "1487350245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 S STATE ST STE 13",
            "city": "ZEELAND",
            "state": "MI",
            "postal_code": "494641678",
            "telephone_number": "616-722-1733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S STATE ST STE 13",
            "city": "ZEELAND",
            "state": "MI",
            "postal_code": "494641678",
            "telephone_number": "616-722-1733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLENS THERAPY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-03",
        "last_updated": "2023-02-03",
        "certification_date": "2023-02-03",
        "status": "A",
        "authorized_official_last_name": "ELLENS",
        "authorized_official_first_name": "EMILY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "616-722-1733"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Zeeland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 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.