Active NPI
Nadezhda Ellison
- Psychoanalyst
- Woodland Hills, CA
National Provider Identifier
1548074057
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychoanalyst
- License
- 144082
- Practice address
- 5850 Canoga Ave
Woodland Hills, CA 91367-6505 - Phone
- (510) 917-0212
- NPI assigned
- Feb 4, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychoanalyst | 102L00000X | 144082 | CA | Primary |
Addresses
Primary practice location
5850 Canoga Ave
Woodland Hills, CA 91367-6505
Mailing address
24007 Archwood St
West Hills, CA 91307-3008
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 144082 | CA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1738627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738627200000",
"number": "1548074057",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24007 ARCHWOOD ST",
"city": "WEST HILLS",
"state": "CA",
"postal_code": "913073008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5850 CANOGA AVE",
"city": "WOODLAND HILLS",
"state": "CA",
"postal_code": "913676505",
"telephone_number": "510-917-0212"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELLISON",
"first_name": "NADEZHDA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-02-04",
"last_updated": "2025-02-04",
"certification_date": "2025-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "102L00000X",
"taxonomy_group": "",
"desc": "Psychoanalyst",
"state": "CA",
"license": "144082",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Woodland Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.