Ellen Doyle, PH.D.

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

6824 Issued in MA

Practice address

90 Adams Road
Williamstown, MA 01267

Phone

(413) 458-9399

Fax

(413) 458-0300

NPI assigned

Nov 6, 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 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1841369873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 MILL RD",
            "city": "STAMFORD",
            "state": "VT",
            "postal_code": "053529638",
            "telephone_number": "413-458-0300",
            "fax_number": "413-458-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 ADAMS ROAD",
            "city": "WILLIAMSTOWN",
            "state": "MA",
            "postal_code": "01267",
            "telephone_number": "413-458-9399",
            "fax_number": "413-458-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOYLE",
        "first_name": "ELLEN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "MA",
            "license": "6824",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF MA PROVIDER #",
            "identifier": "W05796",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP PROVIDER #",
            "identifier": "374570",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASS HEALTH PROVIDER #",
            "identifier": "0526967",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS PROVIDER #",
            "identifier": "460550",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrew Walter Danyluk, MD
• Mark William Doane
• Karen E. Dobe-Costa, DPM
• Jennifer Shuli Myers Dort, P.T.
• Brian Dowling, ATC
• Lynne Dubymartin, OTR/L
• Deborah Briggs Edson, PSYD
• Aliyha Eichorn
• David Joel Elpern, MD
• Barbara Elston, OTRL

• All providers in Williamstown, MA
• Counseling Psychologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.