Ellen Donnelly, PMH- NP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

654876 Issued in TX

Practice address

9525 Katy Fwy
Suite 312
Houston, TX 77024-1407

Phone

(713) 463-9449

Fax

(716) 463-7181

NPI assigned

Feb 26, 2007

Sex

Female

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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639205545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9525 KATY FWY",
            "address_2": "SUITE 312",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770241407",
            "telephone_number": "713-463-9449",
            "fax_number": "716-463-7181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9525 KATY FWY",
            "address_2": "SUITE 312",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770241407",
            "telephone_number": "713-463-9449",
            "fax_number": "716-463-7181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONNELLY",
        "first_name": "ELLEN",
        "credential": "PMH- NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "654876",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "8N7077",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "10041922",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kennedy Donnell
• Malcolm Thomas Donnell
• Rachel Lyn Donnell, SLP ASSISTANT
• Brian Donnelly
• Carol Diane Donnelly, PA-C
• Joseph Lennon Donnelly IV, MD
• Donnex Living Center
• Antonio Gabriel Dono Ostorga, MD
• Angela Donohue, DDS
• Donald T. Donovan, M.D

• Psychiatric/Mental Health Nurse Practitioner in Houston, TX
• Providers in Houston, TX by specialty
• Psychiatric/Mental Health Nurse Practitioner in Texas

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.