Sherrill G Ellis, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

00001964 Issued in CT

Practice address

7 W Park Ave
New Haven, CT 06511-4041

Phone

(203) 777-7905

NPI assigned

Mar 2, 2007

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 names 1

• H Sherrill Ellis Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1932238524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 W PARK AVENUE",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065114041",
            "telephone_number": "203-777-7905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 W PARK AVE",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065114041",
            "telephone_number": "203-777-7905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "SHERRILL",
        "middle_name": "G",
        "name_prefix": "Ms.",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CT",
            "license": "00001964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "H",
            "last_name": "ELLIS",
            "middle_name": "SHERRILL",
            "credential": "CCC-SLP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Mitchell James Clarke Elliott, MD
• Ellis Psychotherapy, Training & Consultation
• Chereen Lizbeth Ellis-Chambers
• Michael Shawn Ellis, LPC
• Natalie Ellis
• Sylvadra Ellis, MSW
• Matthew S Ellman, MD
• Patrick Ellsworth
• Elm City Chiropractic Center
• Elm City Counseling

• Speech-Language Pathologist in New Haven, CT
• Providers in New Haven, CT by specialty
• Speech-Language Pathologist in Connecticut

• 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.