Philip L Ellis (NPI# 1073549911, PAC ID# 6305905225) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHOLOGIST, CLINICAL.
| Nation Provider ID (NPI) | 1073549911 |
| PAC ID by PECOS | 6305905225 |
| Professional Enrollment ID | I20081107000063 |
| Full Name | Philip L Ellis |
| Organization Legal Name | ADAPTIVE COUNSELING AND CASE MANAGEMENT LLC |
| Address |
3298 Veterans Dr Traverse City MI 49684-4725 |
| Phone Number | 2317158466 |
| Gender | M |
| Graduation Year | 1980 |
| Primary Specialty | PSYCHOLOGIST, CLINICAL |
| Group Practice PAC ID | 8921248139 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 3298 Veterans Dr, Traverse City, MI 49684-4725 | 2317158466 | ADAPTIVE COUNSELING AND CASE MANAGEMENT LLC |
| 5015 N Royal Dr, Traverse City, MI 49684-9292 | 2317158466 | ADAPTIVE COUNSELING AND CASE MANAGEMENT LLC |
| Organization Legal Name | ADAPTIVE COUNSELING AND CASE MANAGEMENT LLC |
| Physicians | 9 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mary L Schaub | Clinical Social Worker | Adaptive Counseling and Case Management LLC | 3298 Veterans Dr, Traverse City, MI 49684-4725 |
| Kevin M Debruyn | Clinical Social Worker | Adaptive Counseling and Case Management LLC | 3298 Veterans Dr, Traverse City, MI 49684-4725 |
| Echo Dean | Clinical Social Worker | Adaptive Counseling and Case Management LLC | 3298 Veterans Dr, Traverse City, MI 49684-4725 |
| Charles W Bethea | Clinical Social Worker | Adaptive Counseling and Case Management LLC | 3298 Veterans Dr, Traverse City, MI 49684-4725 |
| Grant A Porteous | Clinical Social Worker | Adaptive Counseling and Case Management LLC | 3298 Veterans Dr, Traverse City, MI 49684-4725 |
| Lynn Marie Bryant | Clinical Social Worker | Adaptive Counseling and Case Management LLC | 3298 Veterans Dr, Traverse City, MI 49684-4725 |
| Ruth M Leckrone | Clinical Social Worker | Adaptive Counseling and Case Management LLC | 3298 Veterans Dr, Traverse City, MI 49684-4725 |
| Susan Connor-herrera | Clinical Social Worker | Adaptive Counseling and Case Management LLC | 3298 Veterans Dr, Traverse City, MI 49684-4725 |
| Street Address |
3298 VETERANS DR |
| City | TRAVERSE CITY |
| State | MI |
| Zip | 49684-4725 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mary L Schaub | Clinical Social Worker | Adaptive Counseling and Case Management LLC | 3298 Veterans Dr, Traverse City, MI 49684-4725 |
| Kevin M Debruyn | Clinical Social Worker | Adaptive Counseling and Case Management LLC | 3298 Veterans Dr, Traverse City, MI 49684-4725 |
| Echo Dean | Clinical Social Worker | Adaptive Counseling and Case Management LLC | 3298 Veterans Dr, Traverse City, MI 49684-4725 |
| Charles W Bethea | Clinical Social Worker | Adaptive Counseling and Case Management LLC | 3298 Veterans Dr, Traverse City, MI 49684-4725 |
| Grant A Porteous | Clinical Social Worker | Adaptive Counseling and Case Management LLC | 3298 Veterans Dr, Traverse City, MI 49684-4725 |
| Lynn Marie Bryant | Clinical Social Worker | Adaptive Counseling and Case Management LLC | 3298 Veterans Dr, Traverse City, MI 49684-4725 |
| Ruth M Leckrone | Clinical Social Worker | Adaptive Counseling and Case Management LLC | 3298 Veterans Dr, Traverse City, MI 49684-4725 |
| Susan Connor-herrera | Clinical Social Worker | Adaptive Counseling and Case Management LLC | 3298 Veterans Dr, Traverse City, MI 49684-4725 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John F Ulrich | Psychologist, Clinical | 102 W Front St, Suite 402, Traverse City, MI 49684-1201 | |
| Melanie S Villanueva | Clinical Social Worker | 134 W State St, Suite 202, Traverse City, MI 49684-1491 | |
| Hillary R Toennies | Qualified Audiologist | Family Hearing LLC | 315 N Division St, Suite 120, Traverse City, MI 49684-2009 |
| Paul Andrew Hanrahan | Qualified Audiologist | Family Hearing LLC | 315 N Division St, Suite 120, Traverse City, MI 49684-2009 |
| Barbara Jones Smith | Clinical Psychologist | Barbara Jones Smith Phd PC | 821 S Elmwood C, Traverse City, MI 49684-2191 |
| Julie Slough Runstrom | Optometry | Nichols Optical Inc | 336 W Front St, Traverse Vision, Traverse City, MI 49684-2204 |
| Christopher James Kowalski | Optometry | Nichols Optical Inc | 336 W Front St, Traverse Vision, Traverse City, MI 49684-2204 |
| David Cannon | Optometry | Nichols Optical Inc | 336 W Front St, Traverse Vision, Traverse City, MI 49684-2204 |
| Karisa Ritter | Optometry | Nichols Optical Inc | 336 W Front St, Traverse Vision, Traverse City, MI 49684-2204 |
| Elizabeth J Nichols | Optometry | Nichols Optical Inc | 336 W Front St, Traverse Vision, Traverse City, MI 49684-2204 |
| Find all physicians in zip 49684 | |||
| City | TRAVERSE CITY |
| Zip Code | 49684 |
| Specialty | PSYCHOLOGIST, CLINICAL |
| City + Specialty | TRAVERSE CITY + PSYCHOLOGIST, CLINICAL |
Please comment or provide details below to improve the information on Philip L Ellis.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.