Ellen Jane Gawlocki, APRN,BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

168612 Issued in MA

Practice address

3 Essex Green Dr
Suite 2
Peabody, MA 01960-2927

Phone

(978) 356-3826

Fax

(978) 532-6366

NPI assigned

Aug 12, 2006

Last updated

Jul 8, 2007By 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

Enrolled in MA

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Certified Clinical Nurse Specialist (CNS)

Education

Other, 1991

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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.

• Psychotherapy North, LLC

  • Clinical Social Worker
  • Peabody, MA
  • NPI 1609408335
  NPD (past)

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851303754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 FARLEY AVE",
            "city": "IPSWICH",
            "state": "MA",
            "postal_code": "019382009",
            "telephone_number": "978-356-9370",
            "fax_number": "978-532-6366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 ESSEX GREEN DR",
            "address_2": "SUITE 2",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019602927",
            "telephone_number": "978-356-3826",
            "fax_number": "978-532-6366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAWLOCKI",
        "first_name": "ELLEN",
        "middle_name": "JANE",
        "name_prefix": "Ms.",
        "credential": "APRN,BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "168612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gary Mendese, MD, LLC
• Sarah C Gates, M.D.
• Stephanie Gatsiadis, LMHC
• Adam Court Gauthier
• Casey M Gavin, PA
• Feng Ge, MD
• Paulette T Gebhardt, MD
• Lisa Gendreau
• Marleny Germosen
• Pratima Ghimire, MD

• Psychiatric/Mental Health Nurse Practitioner in Peabody, MA
• Providers in Peabody, MA by specialty
• Psychiatric/Mental Health Nurse Practitioner 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.
• 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.