SHERRY ELLIS (NPI# 1821543455) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821543455 |
| Entity Type | Individual |
| Full Name | SHERRY ELLIS |
| Practice Address |
12611 S Willowbrook Ave Ste 505 Compton CA 90222-1527 |
| Practice Telephone | 3232425000 |
| Mailing Telephone | 3232425000 |
| Enumeration Date | 2016-08-24 |
| Last Update Date | 2019-12-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
85858 | CA | Behavioral Health & Social Service Providers |
| N | 225400000X | Rehabilitation Practitioner | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 9808 Venice Blvd, Ste. 505, Culver City, CA 902322732 | 3109453350 | 3109453356 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033727797 | Sherry J Ellis | Specialist | 123 Livingston Ave Apt A-2, Albany, NY 12207-2318 | 2020-07-20 |
| 1548741168 | Sherry Lynn Ellis | Licensed Vocational Nurse | 909 Underwood St, Kermit, TX 79745-4524 | 2018-08-22 |
| 1114114311 | Sherry B. Ellis | Internal Medicine | 16244 S Military Trl Ste 170, Delray Beach, FL 33484-6532 | 2007-10-02 |
| 1184788937 | Sherry R Ellis | Counselor | 9199 Butler Creek Rd, Missoula, MT 59808-9306 | 2006-12-19 |
| 1780742064 | Sherry Ann Ellis | Social Worker | Mass Bay Counseling 45 Eastman Street, South Easton, MA 02375 | 2006-12-05 |
| 1124654983 | Sherry Lynne Ellis | Behavior Technician | 11102 Lindbergh Business Ct, Saint Louis, MO 63123-7810 | 2020-03-12 |
| Street Address |
12611 S WILLOWBROOK AVE STE 505 |
| City | COMPTON |
| State | CA |
| Zip Code | 90222-1527 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023497195 | Briana Porter | Clinic/Center | 14102 S. Hillford Ave, Compton, CA 90222 | 2015-05-22 |
| 1467795203 | Maita Siti Kuvhenguhwa | Internal Medicine | 2251 W Rosecrans Ave Ste 18-21, Compton, CA 90222 | 2013-03-29 |
| 1407108194 | Paula Celeste Mcalpin | Registered Nurse | 2110a N. Santa Fe Ave, Compton, CA 90222 | 2012-10-05 |
| 1790035129 | Danielle Cameron | Social Worker | 2010 E.el Segundo, Compton, CA 90222 | 2012-09-13 |
| 1831406362 | Sheran Elizabeth Waters-lanchester | Marriage & Family Therapist | 934 W 134th Pl, Compton, CA 90222 | 2010-09-03 |
| 1962683938 | We Care More II Family Clinic | Nurse Practitioner | 2110a N Santa Fe Ave, Compton, CA 90222 | 2007-11-19 |
| 1588843155 | Cynthia Y. Lidy Dba We Care More II Family Clinic | Nurse Practitioner | 2110 A N. Santa Fe Ave, Compton, CA 90222 | 2007-10-30 |
| 1134262322 | Dershsuan Lii | Dentist | 2115 N.wilmington Ave, Compton, CA 90222 | 2007-02-15 |
| 1134272032 | Karen Kincey | Physician Assistant | 25825 S. Normandie Ave., Harbor City, CA 90222 | 2007-01-22 |
| 1528324381 | David Tobey | Surgery | 2251 W Rosecrans Ave Ste 21, Compton, CA 90222 | 2012-04-05 |
| Find all providers in zip 90222 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831709609 | Breanna Vincent | Counselor | 19009 S Laurel Park Rd Spc 24, Compton, CA 90220-6054 | 2020-08-05 |
| 1962920231 | Sara Alsabbagh | Counselor | 600 Alameda Street, East, Compton, CA 90221 | 2017-09-06 |
| 1194100263 | Yesenia Flores Millan | Counselor | 901 W. Victoria Ave, Unit F & G, Compton, CA 90220-5807 | 2015-07-29 |
| 1154701373 | Hilario Enrique Ramirez | Counselor | 901 W Victoria St Ste Fng, Compton, CA 90220 | 2015-06-03 |
| 1366841306 | Jessica Lisbet Diaz | Counselor | 901 W Victoria St. Suite F & G, Compton, CA 90220 | 2014-08-15 |
| 1447686399 | Sarah Hamblet | Counselor | 509 E. Rosecrans Ave., Compton, CA 90221 | 2013-09-24 |
| 1881966307 | Nancy Urena | Counselor | 901 W. Victoria St Suite F & G, Compton, CA 90220 | 2012-01-30 |
| 1134350655 | Cristabel Palomarez | Counselor | 4108 E. Mcmillan Street, Compton, CA 90221 | 2009-07-31 |
| 1851533343 | Laia Vicens-fuste | Counselor | 901 W Victoria St Ste G, Compton, CA 90220-5819 | 2009-03-30 |
| 1114182615 | Ebony Omaka Ogbeide | Counselor | 901 W Victoria St Ste F, Compton, CA 90220-5820 | 2008-07-23 |
| Find all providers in COMPTON | ||||
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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.