Marcia Ellias

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

0101851 Issued in NY

Practice address

228 E Broadway
New York, NY 10002-5601

Phone

(212) 475-7755

Fax

(212) 475-5035

NPI assigned

Jun 22, 2006

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 1

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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

• Brooklyn Eye Plastics MD PLLC

  • Ophthalmology Physician
  • Brooklyn, NY
  • NPI 1801220256
  NPD (past)
• Senior Life Management, P.L.L.C.

  • Clinical Psychologist
  • Carle Place, NY
  • NPI 1396799557
  NPD (past)

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195430400000",
    "number": "1770529968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 OLD COUNTRY RD",
            "address_2": "SUITE 271",
            "city": "CARLE PLACE",
            "state": "NY",
            "postal_code": "115141801",
            "telephone_number": "800-725-6280",
            "fax_number": "800-725-6380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 E BROADWAY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100025601",
            "telephone_number": "212-475-7755",
            "fax_number": "212-475-5035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIAS",
        "first_name": "MARCIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-22",
        "last_updated": "2007-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "0101851",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01556885",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melinda Eller, PA-C
• Alice T Ellerbeck, LMSW
• Sera Ellerson, WHNP-BC
• Edward Jacob Elles II, LCSW
• Laila Marie Ellias, M.S. CCC SLP
• Christine Ellie, DPM
• Madison Elizabeth Ellin, MD, MPH
• Sarah Elizabeth Ellinger, MS, OTR/L
• Cheril Lee Ellingson
• Alina Ellington

• Clinical Psychologist in New York, NY
• Providers in New York, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2007; 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.

Verify at the official NPI Registry.