Ellis Consulting and Associates

Primary specialty

Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X

License

MHL-063-085 Issued in NC

Legal business name

ELLIS CONSULTING AND ASSOCIATES

Practice address

778 Hoffman Road
Jackson Springs, NC 27281

Phone

(910) 848-0023

Fax

(910) 848-0026

NPI assigned

Jan 26, 2010

Organization subpart

Yes

Parent organization

CROSSROADS HEALTHCARE ALLIANCEAs reported in NPPES

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

Authorized official

Name

Dr. Duke E Ellis II

Title

Ceo

Phone

(910) 286-1991

Specialties & licenses 1

Addresses

Part of

Ellis Consulting and Associates

Locations

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

{
    "created_epoch": "1264464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264464000000",
    "number": "1982935284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4989 ROCKFISH RD",
            "city": "RAEFORD",
            "state": "NC",
            "postal_code": "283768355",
            "telephone_number": "910-848-0023",
            "fax_number": "910-848-0026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "778 HOFFMAN ROAD",
            "city": "JACKSON SPRINGS",
            "state": "NC",
            "postal_code": "27281",
            "telephone_number": "910-848-0023",
            "fax_number": "910-848-0026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLIS CONSULTING AND ASSOCIATES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CROSSROADS HEALTHCARE ALLIANCE",
        "enumeration_date": "2010-01-26",
        "last_updated": "2010-01-26",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "DUKE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "910-286-1991",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "NC",
            "license": "MHL-063-085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Jackson Springs, NC
• Psychiatric Residential Treatment Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2010; 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.