Julia Ellis, MFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

84601 Issued in CA

Practice address

2915 M L K Jr Way
Berkeley, CA 94703-2133

Phone

(415) 694-2201

NPI assigned

Jul 20, 2015

Last updated

Jul 20, 2015By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Center for Healing and Transformation

  • Marriage & Family Therapist
  • Ithaca, NY
  • NPI 1104565803
  NPD Authorized official

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

{
    "created_epoch": "1437350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437350400000",
    "number": "1801271853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1017 ASHMOUNT AVE",
            "city": "PIEDMONT",
            "state": "CA",
            "postal_code": "946101204",
            "telephone_number": "415-694-2201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2915 M L K JR WAY",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947032133",
            "telephone_number": "415-694-2201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "JULIA",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-20",
        "last_updated": "2015-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "84601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Slass Lee a Medical Corporation
• Ellen Bier Physical Therapy
• Nancy Woods Ellinger, LCSW
• David Elliot
• Caitlin Ellis
• Selena W Ellis, MD
• Elna LLC
• Brooke Elorriaga
• Elysia Nicole Elsinga, CNM
• Amal Salah Elsohemy, MD

• Marriage & Family Therapist in Berkeley, CA
• Providers in Berkeley, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2015; 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.