MR. ROBERT EARLE ELLIS (NPI# 1366461337) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366461337 |
| Entity Type | Individual |
| Full Name | MR. ROBERT EARLE ELLIS |
| Credential | LICSW |
| Practice Address |
273 Front St Weymouth MA 02188-2202 |
| Practice Telephone | 7818120252 |
| Practice Fax Number | 7818120252 |
| Mailing Telephone | 7818120252 |
| Mailing Fax Number | 7818120252 |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
1022916 | MA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881945566 | Robert Ray Ellis | Military Health Care Provider | 10194 Cottage Ct, Diberville, MS 39540-4744 | 2012-09-21 |
| 1336392224 | Robert Ellis | Specialist/Technologist, Other | 8008 Blue Hole Ct, Mckinney, TX 75070-4896 | 2008-10-23 |
| 1124274394 | Robert Stephen Ellis | Dentist | 1434 - Parker Drive, Laurel, MS 39440-1942 | 2008-08-07 |
| 1083810709 | Robert Haig Ellis | Internal Medicine | 2412 Brookwood Drive, Fort Collins, CO 80525-1908 | 2007-06-21 |
| 1265534697 | Robert Frank Ellis | Obstetrics & Gynecology | 770 Elysian Way, Deerfield, IL 60015-4500 | 2006-09-05 |
| 1083724843 | Robert Lynn Ellis | Dentist | 143 1/2 E Main, Rigby, ID 83442 | 2006-08-30 |
| 1932111739 | Robert George Ellis | Radiology | 1204 E 29th St, Tulsa, OK 74114-3907 | 2006-08-12 |
| 1124006549 | Robert William Ellis IIi | Psychiatry & Neurology | 204 W Grand River Ave, Suite 260, Howell, MI 48843-2299 | 2006-01-05 |
| 1689185936 | Robert Brian Ellis | Audiologist | 318 W El Norte Pkwy, Escondido, CA 92026-1925 | 2017-10-13 |
| 1316467277 | Robert Tyler Ellis | Orthopaedic Surgery | 1100 Virginia Avenue Dc 953 00, Columbia, MO 65212-0001 | 2017-06-22 |
| Street Address |
273 FRONT ST |
| City | WEYMOUTH |
| State | MA |
| Zip Code | 02188-2202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033604400 | Elizabeth Dugan Moran | Counselor | Emergency Department Admin, Dowling Building Room #1103, Boston Medical Center, 1 Boston Medical Center Place, Boston, MA 02188 | 2018-06-27 |
| 1730608241 | Kathleen Iacobacci | Massage Therapist | 551 Washington Street, Weymouth Massage (at Northeast Health & Fitness), Weymouth, MA 02188 | 2017-09-15 |
| 1205365590 | Jillian London | Chiropractor | 35 Rockway Ave Unit 302, Weymouth, MA 02188 | 2017-06-08 |
| 1508301284 | Jaylee Lebreton | Student in an Organized Health Care Education/Training Program | 119 King Avenue, Unit F, Weymouth, MA 02188 | 2017-01-04 |
| 1073907390 | Andrea Christine Jones | Behavioral Analyst | 121 Hibiscus Ave, Weymouth, MA 02188 | 2015-03-25 |
| 1871720425 | Kim Robyn Trudel | Dietitian, Registered | 75 Finnell Drive, Weymouth, MA 02188 | 2009-06-22 |
| 1699913889 | Charles Njunge Kingara | Licensed Practical Nurse | 56 Aududon Rd, Apt407, Weymouth, MA 02188 | 2009-01-27 |
| 1811011414 | Juan Kay Ferry | Chiropractor | 440 Washington Street, Weymouth, MA 02188 | 2007-03-19 |
| 1023081916 | James J Mensching | Emergency Medicine | 330 Washington Street, Weymouth, MA 02188 | 2006-02-10 |
| 1316942162 | Eascare LLC | Ambulance | 25 Main St, Weymouth, MA 02188 | 2005-06-17 |
| Find all providers in zip 02188 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811596703 | Courtney Rose Bieda | Counselor | 1340 Washington St Apt 3, Weymouth, MA 02189-2360 | 2020-10-21 |
| 1912466046 | Heart and Soul Counseling LLC | Counselor | 73 Broad Reach Unit M76c, Weymouth, MA 02191-2306 | 2019-03-18 |
| 1528448941 | Henry Yongho | Counselor | 79 Donald St, Weymouth, MA 02188-3961 | 2015-06-01 |
| 1790020956 | Joi D Allen | Counselor | 56 Audubon Rd, Apt. 407, Weymouth, MA 02188-4401 | 2012-11-29 |
| 1114283603 | Milka D Fong | Counselor | 46 Greentree Ln, Weymouth, MA 02190-2055 | 2012-04-09 |
| 1215208368 | Jeffrey A D'angelo | Counselor | 83 Fort Point Rd, Weymouth, MA 02191-2131 | 2012-01-21 |
| 1376839357 | James Shedd | Counselor | 139 Rockway Ave, #35, Weymouth, MA 02188-4418 | 2011-06-28 |
| 1336438241 | Donna Ann Hurley | Counselor | 44 Butler Rd, Weymouth, MA 02189-2646 | 2011-03-31 |
| 1790082253 | Bonnie Marie Kimball | Counselor | 549 Columbian Street, Weymouth, MA 02190 | 2011-02-18 |
| 1104121912 | Heather Ann Northrop | Counselor | 541 Main St Ste 303, Weymouth, MA 02190-1845 | 2011-01-26 |
| Find all providers in WEYMOUTH | ||||
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| 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.