DR. ELIAS MICHAEL ELLOVICH (NPI# 1043417801) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043417801 |
| Entity Type | Individual |
| Full Name | DR. ELIAS MICHAEL ELLOVICH |
| Credential | PSY.D. |
| Practice Address |
699 Bloomfield Ave Bloomfield CT 06002-2462 |
| Practice Telephone | 8602786355 |
| Practice Fax Number | 8602421257 |
| Mailing Telephone | 8602786355 |
| Mailing Fax Number | 8602421257 |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TS0200X |
Psychologist Specialization: School |
10521 | CT | Behavioral Health & Social Service Providers |
| Street Address |
699 BLOOMFIELD AVE |
| City | BLOOMFIELD |
| State | CT |
| Zip Code | 06002-2462 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114030111 | Gladys M Anderson | Marriage & Family Therapist | 699 Bloomfield Ave, Bloomfield, CT 06002-2462 | 2006-08-16 |
| 1396068821 | Gina Chiara | Social Worker | 699 Bloomfield Ave, Bloomfield, CT 06002-2462 | 2010-03-11 |
| 1689744062 | Brian Garrett Lane | Social Worker | 699 Bloomfield Ave, Bloomfield, CT 06002-2462 | 2006-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558908897 | Duncaster, Inc. | Clinic/Center | 30 Loeffler Rd., Bloomfield, CT 06002 | 2019-12-05 |
| 1104467919 | Caroline Suzanne Carey Oesch | Counselor | 71 West Dudley St, Bloomfield, CT 06002 | 2019-10-02 |
| 1679047534 | Inspire Me, LLC | Counselor | 1-2 Camelot Drive, Bloomfield, CT 06002 | 2019-01-14 |
| 1508348947 | Rebecca Perry | Student in an Organized Health Care Education/Training Program | 693 Bloomfield Avenue, Bloomfield, CT 06002 | 2018-09-01 |
| 1760996946 | Monique Edwards | Social Worker | 705 New Briatin Ave, Chd, Bloomfield, CT 06002 | 2017-11-27 |
| 1225564412 | Merva E Dixon | Nurse Practitioner | 38 Hill Farm Rd, Bloomfield, CT 06002 | 2017-05-07 |
| 1538602610 | Jaime Acevedo | Counselor | 571 Bloomfield Ave, Bloomfield, CT 06002 | 2016-11-22 |
| 1669835138 | Jacob Badura | Pharmacist | 799-824 Park Ave, Bloomfield, CT 06002 | 2016-04-01 |
| 1316283328 | Julie Jason Farrelly | Counselor | 45 Wintonbury Ave Ste 102, Bloomfield, CT 06002 | 2012-12-19 |
| 1184915860 | Rachel Benedetto Scott | Surgery | 6 Northwestern Drive, Suite 305, Bloomfield, CT 06002 | 2011-04-28 |
| Find all providers in zip 06002 | ||||
| Taxonomy Code | 103TS0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376940775 | Jessica Iudiciani | Psychologist | 325 N Bergin Ln, Bloomfield, NM 87413-6729 | 2014-12-01 |
| 1457635500 | Jennifer Schroeder | Psychologist | 45 Maple Ave, Bloomfield, NY 14469-9394 | 2011-10-07 |
| 1780964601 | Monika Kos | Psychologist | 325 N Bergin Ln, Bloomfield, NM 87413-6729 | 2011-08-23 |
| 1124308044 | Emma Y. Foster | Psychologist | 325 N Bergin Ln, Bloomfield, NM 87413-6729 | 2011-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780241885 | Tatiana Diaz-wayne | Psychologist | 30 Sleepy Hollow Dr, Danbury, CT 06810-5360 | 2019-05-23 |
| 1952860231 | Joseph Ambrose | Psychologist | 324 French St, Watertown, CT 06795-2929 | 2019-03-18 |
| 1003374083 | Jackelin Serraty | Psychologist | 7 Dean St Unit 204, Danbury, CT 06810-5760 | 2019-03-07 |
| 1124524293 | Andrea Samperi | Psychologist | 5 Paulding Ter, Danbury, CT 06810-5134 | 2018-04-05 |
| 1437655362 | Megan Moyer | Psychologist | 34-3 Shunpike Rd # 196, Cromwell, CT 06416-2490 | 2018-03-31 |
| 1750807210 | Rachel Teresa Lehr | Psychologist | 3 Sky Edge Ln, Bethel, CT 06801-1013 | 2017-08-16 |
| 1154862936 | Hillary Rubin | Psychologist | 44 Commerce Avenue, Stamford, CT 06902 | 2017-03-14 |
| 1790038206 | Keara Conway | Psychologist | 44 Commerce Rd, Stamford, CT 06902-4561 | 2012-10-22 |
| 1649522921 | Linked-up Academy, LLC | Psychologist | 85 Camp Ave, Unit 11d, Stamford, CT 06907-1830 | 2012-10-10 |
| 1265787097 | Linked-up Academy | Psychologist | 85 Camp Ave Apt 11d, Stamford, CT 06907-1840 | 2012-07-18 |
| Find all providers with the same taxonomy | ||||
| City | BLOOMFIELD |
| Zip Code | 06002 |
Please comment or provide details below to improve the information on DR. ELIAS MICHAEL ELLOVICH.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.