Ellen O'Toole, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

22201 Issued in CA

Practice address

1221 Farmers LN Ste C
Santa Rosa, CA 95405-6712

Phone

(707) 829-5057

NPI assigned

Sep 27, 2008

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• North Bay Neuropsychology a Psychology Corporation

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Santa Rosa, CA
  • NPI 1568854727
  Medicare reassignment Authorized official
• J & L Millier Associates Inc.

  • Custodial Care Facility
  • Santa Rosa, CA
  • NPI 1043576465
  NPD

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

{
    "created_epoch": "1222473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721174400000",
    "number": "1962652883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 FARMERS LN STE C",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954056712",
            "telephone_number": "707-829-5057",
            "fax_number": "707-829-5084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 FARMERS LN STE C",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954056712",
            "telephone_number": "707-829-5057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'TOOLE",
        "first_name": "ELLEN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-27",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "22201",
            "primary": true
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "CA",
            "license": "22201",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrick Emery O'Meara, PHARMD
• James Joseph O'Neal, D.C.
• Laura O'Neal, CMT
• Kathryn L. O'Niell
• Steven G. O'Rourke
• Oak Tree Ranch Senior Assisted Living
• Andrea Oakes, RN
• Larry Martin Oakes, PTLA, DPT
• Robert Sheldon Oberti
• Carla Rae Obrien-Jay

• Clinical Psychologist in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2024; 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.