Organization Active NPI

Ellenhorn LLC

  • Psychiatry Physician
  • Los Angeles, CA
National Provider Identifier
1982499539
Registry record updated Apr 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
ELLENHORN LLC
Practice address
8737 Venice Blvd Ste 201
Los Angeles, CA 90034-3258
Phone
(310) 454-7901
NPI assigned
Apr 14, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2025

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

Authorized official

Name
Jackie Phypers
Title
Insurance Billing Specialist
Phone
(781) 956-7276

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

8737 Venice Blvd Ste 201
Los Angeles, CA 90034-3258

Mailing address

8737 Venice Blvd Ste 201
Los Angeles, CA 90034-3258
Phone (310) 454-7901

National Provider Directory

National Provider Directory

Locations

8737 Venice Blvd
Ste 201
Los Angeles, CA 90034
Phone (310) 429-1986

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1744588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744588800000",
    "number": "1982499539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8737 VENICE BLVD STE 201",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900343258",
            "telephone_number": "310-454-7901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8737 VENICE BLVD STE 201",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900343258",
            "telephone_number": "310-454-7901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLENHORN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-14",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-14",
        "status": "A",
        "authorized_official_last_name": "PHYPERS",
        "authorized_official_first_name": "JACKIE",
        "authorized_official_title_or_position": "INSURANCE BILLING SPECIALIST",
        "authorized_official_telephone_number": "781-956-7276"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2025; 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.