Ellis Psychiatric LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

ELLIS PSYCHIATRIC LLC

Practice address

223 E Condron St
Valley, NE 68064-3401

Phone

(402) 871-6010

NPI assigned

Aug 5, 2026

Last updated

Aug 5, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Mary Michele EllisNPI 1790105948

Title

Owner

Phone

(402) 871-6010

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mary Ellis, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Valley, NE
  • NPI 1790105948
  NPD (past) Authorized official

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

{
    "created_epoch": "1785888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785888000000",
    "number": "1649194432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 E CONDRON ST",
            "city": "VALLEY",
            "state": "NE",
            "postal_code": "680643401",
            "telephone_number": "402-871-6010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 E CONDRON ST",
            "city": "VALLEY",
            "state": "NE",
            "postal_code": "680643401",
            "telephone_number": "402-871-6010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLIS PSYCHIATRIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-05",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "MICHELE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-871-6010",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Community Rehab, Inc (Community Rehab)
• Douglas County Housing Authority (Orchard Gardens)
• Douglas County West Schools
• Down Home Health LLC
• Angela D Duysen
• Mary Ellis, APRN
• Stephanie Elise Emig Witt
• Megan Engel, LMHP
• Michelle Grennan
• Carol Hagemann

• Mental Health Clinic/Center (Including Community Mental Health Center) in Valley, NE
• Providers in Valley, NE by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2026; 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.