Chava E Ellinson

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

4 McKinley Ave
Lakewood, NJ 08701-2377

Phone

(732) 276-5828

Fax

(732) 355-8171

NPI assigned

Mar 5, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Medassist MD Corp

  • Geriatric Medicine (Internal Medicine) Physician
  • Spring Valley, NY
  • NPI 1730868688
  NPD Authorized official
• Medassist USA LLC

  • Case Management Agency
  • Lakewood, NJ
  • NPI 1982211439
  NPD
• Silvercare Custom Wheelchair Specialist

  • Customized Equipment (DME)
  • Lakewood, NJ
  • NPI 1720503386
  NPD
• Park Slope Center for Mental Health, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Brooklyn, NY
  • NPI 1851382188
  NPD (past)

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

{
    "created_epoch": "1204675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1487824496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 MCKINLEY AVE",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087012377",
            "telephone_number": "732-276-5828",
            "fax_number": "732-355-8171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 MCKINLEY AVE",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087012377",
            "telephone_number": "732-276-5828",
            "fax_number": "732-355-8171"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "348 13th St Ste 203",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112155004",
            "country_code": "US",
            "telephone_number": "718-788-2461",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELLINSON",
        "first_name": "CHAVA",
        "middle_name": "E",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-05",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0507857",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samantha Elizabeth Elia
• Elite Behavior Therapy
• Chaya Eliyahu, PA-C
• Kateryna Eliyahu, LSW
• Harley Rose Ellington, CNM
• Esther Ellinson
• Aniya Elliott
• Darius Elliott
• Tzipora Ellman, BCBA
• Eloquent Speech LLC

• Mental Health Counselor in Lakewood, NJ
• Providers in Lakewood, NJ by specialty
• Mental Health Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.