Ellen Margaret Miller Pond, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

148 Beach Road
Fairfield, CT 06824

Phone

(203) 255-2631

Fax

(203) 256-8532

NPI assigned

Jan 18, 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: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Paragon Behavioral Health, LLCGroup PAC ID 1850301508, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Paragon Behavioral Health, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Kensington, CT
  • NPI 1972620961
  Medicare reassignment Care Compare group NPD
• Paragon Behavioral Health, LLC

  • Clinical Social Worker
  • Kensington, CT
  • NPI 1083731079
  NPD
• Paragon Behavioral Health, LLC

  • Marriage & Family Therapist
  • Berlin, CT
  • NPI 1629890553
  NPD

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214352000000",
    "number": "1538211495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 SAMPSON AVE",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "06460",
            "telephone_number": "203-878-9650",
            "fax_number": "203-256-8532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 BEACH ROAD",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "06824",
            "telephone_number": "203-255-2631",
            "fax_number": "203-256-8532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER POND",
        "first_name": "ELLEN",
        "middle_name": "MARGARET",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-18",
        "last_updated": "2008-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "006737",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wendy Michel, MSW
• Michele S Valente, LLC
• Michelle Minogue LMFT, LLC
• Mindy Anne Milbrun
• Diana Mille, LMFT
• Donald William Miller, DMD
• Jeremy D Miller
• Leslie Robin Miller, MD
• Suzanne Leslie Minatti
• Mindful Interventions LLC

• Clinical Social Worker in Fairfield, CT
• Providers in Fairfield, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; 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.