Claire Ellerbrock, APRN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

APRN.CNP.022357 Issued in OH

Practice address

189 Storrs Rd
Mansfield Center, CT 06250-1683

Phone

(860) 456-1311

Fax

(860) 450-0165

NPI assigned

Jul 21, 2017

Last updated

Jul 25, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: claire.tourjee@xdr.hhchealthdirect.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bad River Band of Lake Superior Tribe of Chippewa Indians Wis

  • Federally Qualified Health Center (FQHC)
  • Ashland, WI
  • NPI 1699701375
  NPD
• Bad River Band of Lake Superior Tribe of Chippewa Indians Wis.

  dba Bad River Clinic Pharmacy

  • Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
  • Ashland, WI
  • NPI 1780702829
  NPD
• Integrated Services for Behavioral Health

  • Community/Behavioral Health Agency
  • Nelsonville, OH
  • NPI 1205196201
  NPD (past)
• McIntyre Center Inc.

  • Community/Behavioral Health Agency
  • Parma, OH
  • NPI 1023453867
  NPD (past)

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

{
    "created_epoch": "1500595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627171200000",
    "number": "1669995544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6929 W 130TH ST STE 307",
            "city": "PARMA HEIGHTS",
            "state": "OH",
            "postal_code": "441307822",
            "telephone_number": "440-887-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "189 STORRS RD",
            "city": "MANSFIELD CENTER",
            "state": "CT",
            "postal_code": "062501683",
            "telephone_number": "860-456-1311",
            "fax_number": "860-450-0165"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4199 Millpond Dr",
            "address_purpose": "LOCATION",
            "city": "Highland Hills",
            "state": "OH",
            "postal_code": "441225731",
            "country_code": "US",
            "telephone_number": "216-302-3070",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "217 N Water St Ofc 1",
            "address_purpose": "LOCATION",
            "city": "Kent",
            "state": "OH",
            "postal_code": "442402462",
            "country_code": "US",
            "telephone_number": "314-691-6542",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "535 Marmion Ave",
            "address_purpose": "LOCATION",
            "city": "Youngstown",
            "state": "OH",
            "postal_code": "445022323",
            "country_code": "US",
            "telephone_number": "330-782-5664",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6929 W 130th St Ste 307",
            "address_purpose": "LOCATION",
            "city": "Parma Heights",
            "state": "OH",
            "postal_code": "441307822",
            "country_code": "US",
            "telephone_number": "440-887-1100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELLERBROCK",
        "first_name": "CLAIRE",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-21",
        "last_updated": "2021-07-25",
        "certification_date": "2021-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CT",
            "license": "7967",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "APRN.CNP.022357",
            "primary": true
        },
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "OH",
            "license": "416083",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cindy Dupointe
• Autumn Dwy, LMSW
• Anna Ebora, LCSW
• Naushad Ratan Edibam, DMD
• Inge-Marie Eigsti, PH.D.
• Craig Russell Elliott, M.D.
• Sherri Anne Ericksen, DC
• Demitria Estrada, DMD
• Heather Evans, PHD, PMHNP-BC, RN
• Katie Marie Feeney, MSN, PMHNP-BC

• Psychiatric/Mental Health Nurse Practitioner in Mansfield Center, CT
• Providers in Mansfield Center, CT by specialty
• Psychiatric/Mental Health Nurse Practitioner in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.