| Ellie Mental Health | |
|
1200 Atwater Dr Ste 130 Malvern PA 19355-8782 | |
| (610) 646-1851 | |
| (484) 355-5181 |
| Full Name | Ellie Mental Health |
|---|---|
| Speciality | Clinic/Center |
| Location | 1200 Atwater Dr Ste 130, Malvern, Pennsylvania |
| Authorized Official Name and Position | Kristin Dutka (OWNER) |
| Authorized Official Contact | 9105151340 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ellie Mental Health 392 Merlin Rd Phoenixville PA 19460-2109 Ph: (910) 515-1340 | Ellie Mental Health 1200 Atwater Dr Ste 130 Malvern PA 19355-8782 Ph: (610) 646-1851 |
| NPI Number | 1528752037 |
|---|---|
| Provider Enumeration Date | 06/07/2023 |
| Last Update Date | 04/04/2024 |
| Certification Date | 04/03/2024 |
| Medicare PECOS PAC ID | 0345689022 |
|---|---|
| Medicare Enrollment ID | O20240415000360 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528752037 | NPI | - | NPPES |
| Provider Name | Jenna Mercadante |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1851721104 PECOS PAC ID: 0840694824 Enrollment ID: I20210812003294 |
| Provider Name | Nicolas Sheridan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1982110227 PECOS PAC ID: 9436599354 Enrollment ID: I20240425002302 |
| Provider Name | Rose D Montgomery |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124626254 PECOS PAC ID: 5890135727 Enrollment ID: I20240425002826 |
| Provider Name | Anna Pierce Frederick |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336250612 PECOS PAC ID: 2466453428 Enrollment ID: I20240425004105 |
| Provider Name | Jenny Matlack |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1376940015 PECOS PAC ID: 8426498395 Enrollment ID: I20240425004176 |
| Provider Name | Emily Joy Stone |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1184028805 PECOS PAC ID: 7113367988 Enrollment ID: I20240426000458 |
| Provider Name | Thomas De Vitis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1831750611 PECOS PAC ID: 7810336559 Enrollment ID: I20240516002886 |
Philip L Weber, Psy.d., Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 103 Victoria Ct, Malvern, PA 19355 Phone: 610-578-0974 | |
Donna Radl, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5 Great Valley Pkwy, Malvern, PA 19355 Phone: 610-368-1090 | |
Illumination Counseling Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5 Great Valley Pkwy Ste 210, Malvern, PA 19355 Phone: 484-402-4727 | |
Siza Es Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5 Great Valley Pkwy Ste 270, Malvern, PA 19355 Phone: 484-757-5538 | |
Aaa Neuropsychology, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 101 Lindenwood Dr, Suite 225, Malvern, PA 19355 Phone: 484-870-5608 | |
Paoli Psychiatric Associates Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 325 Central Ave, Suite 102, Malvern, PA 19355 Phone: 610-296-0142 Fax: 610-651-2880 | |
Living Changes Therapies Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 5 Great Valley Pkwy Ste 210, Malvern, PA 19355 Phone: 804-822-5529 |