| Ellie Mental Health | |
|
55 Walls Dr Ste 206 Fairfield CT 06824-5163 | |
| (845) 656-3053 | |
| Not Available |
| Full Name | Ellie Mental Health |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 55 Walls Dr, Fairfield, Connecticut |
| Authorized Official Name and Position | Michael Jay Pisco (CLINIC DIRECTOR) |
| Authorized Official Contact | 8456563053 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ellie Mental Health 55 Walls Dr Ste 206 Fairfield CT 06824-5163 Ph: (203) 689-8989 | Ellie Mental Health 55 Walls Dr Ste 206 Fairfield CT 06824-5163 Ph: (845) 656-3053 |
| NPI Number | 1619611464 |
|---|---|
| Provider Enumeration Date | 04/26/2022 |
| Last Update Date | 11/10/2022 |
| Certification Date | 11/10/2022 |
| Medicare PECOS PAC ID | 9931561982 |
|---|---|
| Medicare Enrollment ID | O20230808003518 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619611464 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
| Provider Name | Laura R Hart |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861794364 PECOS PAC ID: 5799966511 Enrollment ID: I20110225000566 |
| Provider Name | Katharine Wilson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982035655 PECOS PAC ID: 0042503534 Enrollment ID: I20160720002880 |
| Provider Name | Debra Morton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811454911 PECOS PAC ID: 3779823737 Enrollment ID: I20190329000369 |
| Provider Name | Jaclyn Marie Semmeles |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255809802 PECOS PAC ID: 5395179451 Enrollment ID: I20191223002005 |
| Provider Name | Xanic E Wood |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972196442 PECOS PAC ID: 0345647269 Enrollment ID: I20210920003302 |
| Provider Name | Stephanie Kay Anderson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730888595 PECOS PAC ID: 2769856202 Enrollment ID: I20230323000917 |
| Provider Name | Michael J. Pisco |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1275873390 PECOS PAC ID: 7012379068 Enrollment ID: I20231229001041 |
| Provider Name | Rebecca Ann Wierman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1114506938 PECOS PAC ID: 8123475092 Enrollment ID: I20231229002273 |
| Provider Name | Christine Gonzalez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1366995904 PECOS PAC ID: 2860845922 Enrollment ID: I20240125001852 |
| Provider Name | Michelle Lynn Caruso |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1841970860 PECOS PAC ID: 0648627570 Enrollment ID: I20240126004065 |
| Provider Name | Kristina Louise Montini |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1760178842 PECOS PAC ID: 5890148738 Enrollment ID: I20240127000348 |
| Provider Name | Stefanie E Bartfield |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1679026694 PECOS PAC ID: 3274977012 Enrollment ID: I20240220001776 |
| Provider Name | Olivia Rae Giacoppi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114783123 PECOS PAC ID: 0941647911 Enrollment ID: I20240326002515 |
| Provider Name | Lisa Margaret Hartley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881882298 PECOS PAC ID: 1456799113 Enrollment ID: I20240401003086 |
| Provider Name | Christen Susanne Carnes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265284657 PECOS PAC ID: 4385084540 Enrollment ID: I20240504000259 |
| Provider Name | Kristin Marie Nistico |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1568094548 PECOS PAC ID: 2163862327 Enrollment ID: I20240504000367 |
| Provider Name | Veronica A Dotson |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1952876302 PECOS PAC ID: 7719327873 Enrollment ID: I20240507000139 |
Cb Counseling Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 425 Kings Hwy E, Fairfield, CT 06825 Phone: 203-307-0119 | |
Balanced Beginnings Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 765 Post Rd, Fairfield, CT 06824 Phone: 203-581-0107 | |
Dr. Katherine Bothos, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 170 Post Rd Ste 208, Fairfield, CT 06824 Phone: 203-455-3736 | |
Transcend Mind Body Training Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1735 Post Rd # 14, Fairfield, CT 06824 Phone: 203-414-9265 Fax: 203-414-9265 | |
Healing & Wellness Counseling Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 370 Sigwin Dr, Fairfield, CT 06824 Phone: 203-908-6525 | |
Mindful Pathways Counseling, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2228 Black Rock Tpke Ste 202, Fairfield, CT 06825 Phone: 203-572-5239 | |
Sue Nadel Therpeutic Counseling Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 140 Sherman St Fl 5, Fairfield, CT 06824 Phone: 203-293-7228 |