Ellis H Katz

Primary specialty

PsychologistTaxonomy code 103T00000X

License

2970 Issued in MA

Practice address

7 Essex Green Dr
Suite 65
Peabody, MA 01960-2961

Phone

(978) 531-5571

NPI assigned

Dec 25, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Eligible to order & refer

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

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Apr 1, 2016 through Apr 1, 2028

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1167004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1518022201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 ESSEX GREEN DR",
            "address_2": "SUITE 65",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019602961",
            "telephone_number": "978-531-5571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 ESSEX GREEN DR",
            "address_2": "SUITE 65",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019602961",
            "telephone_number": "978-531-5571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATZ",
        "first_name": "ELLIS",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MA",
            "license": "2970",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0525588",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karen P. Szczechowicz M.D., PC
• Juliah Karobia Muthoni Ntomp
• Stephen Howard Karshbaum, MD
• Timothy Karthas
• Katz Optometry, P.C.
• Julian Katz
• Tamar Katz
• Helen Kaulbach, MD
• Jillian Lucey Kavanagh, NP-C
• Thomas Kevin Kavanaugh

• Psychologist in Peabody, MA
• Providers in Peabody, MA by specialty
• Psychologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.