Active NPI
Ellen Lewis, PH.D.
- Psychologist
- Baltimore, MD
National Provider Identifier
1720015951
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 02597
- Practice address
- 2 Hamill Rd
Suite 326 C
Baltimore, MD 21210-1813 - Phone
- (410) 433-1118
- NPI assigned
- Jun 26, 2006
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 02597 | MD | Primary |
Addresses
Primary practice location
2 Hamill Rd
Suite 326 C
Baltimore, MD 21210-1813
Mailing address
2 Hamill Rd
Suite 326 C
Baltimore, MD 21210-1813
Phone (410) 433-1118
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| T2180001 | Other | DC | BLUE CROSS BLUE SHIELD |
| T2180001 | Other | MD | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120222000167 | MD | Practitioner - Clinical Psychologist | 3072771047 | Practice locations: Baltimore, MD |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
2 Hamill Rd
Suite 326
Baltimore, MD 21210-1813
Phone (410) 433-1118
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02597 | MD | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1352937600000",
"number": "1720015951",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 HAMILL RD",
"address_2": "SUITE 326 C",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212101813",
"telephone_number": "410-433-1118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 HAMILL RD",
"address_2": "SUITE 326 C",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212101813",
"telephone_number": "410-433-1118"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "ELLEN",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-26",
"last_updated": "2012-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MD",
"license": "02597",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "T2180001",
"state": "DC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "T2180001",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2012; 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.