Ava S Eller

Primary specialty

PsychologistTaxonomy code 103T00000X

License

0470000624 Issued in VT

Practice address

3 Main St
Suite 107
Burlington, VT 05401-5216

Phone

(802) 651-7527

NPI assigned

Apr 18, 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 identifiers 1

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": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972729622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 326",
            "city": "CHARLOTTE",
            "state": "VT",
            "postal_code": "054450326",
            "telephone_number": "802-651-7527",
            "fax_number": "802-863-2170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 MAIN ST",
            "address_2": "SUITE 107",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054015216",
            "telephone_number": "802-651-7527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLER",
        "first_name": "AVA",
        "middle_name": "S",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "VT",
            "license": "0470000624",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1005140",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maj Eisinger, MD
• Asmaa El Desoky
• Siba El Hussein, M.D.
• Abdelmonem Ahmed Elhosseiny, M.D.
• Elizabeth Naylor, PHD, PLC
• Martha Ellerman
• Jaime B Elliott
• Kaytlyn Elliott, MSW
• Riley A Elliott, D.D.S
• John I Ellis, MD

• Psychologist in Burlington, VT
• Providers in Burlington, VT by specialty
• Psychologist in Vermont

• 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.