| Ellie Mental Health Of Newtown | |
|
660 Newtown Yardley Rd Ste 203 Newtown PA 18940-4011 | |
| (215) 344-7342 | |
| (267) 692-1732 |
| Full Name | Ellie Mental Health Of Newtown |
|---|---|
| Speciality | Psychologist |
| Location | 660 Newtown Yardley Rd Ste 203, Newtown, Pennsylvania |
| Authorized Official Name and Position | Habib Ahmed (OWNER) |
| Authorized Official Contact | 6302906863 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ellie Mental Health Of Newtown 660 Newtown Yardley Rd Ste 203 Newtown PA 18940-4011 Ph: (215) 344-7342 | Ellie Mental Health Of Newtown 660 Newtown Yardley Rd Ste 203 Newtown PA 18940-4011 Ph: (215) 344-7342 |
| NPI Number | 1942068739 |
|---|---|
| Provider Enumeration Date | 03/07/2024 |
| Last Update Date | 03/20/2024 |
| Certification Date | 03/20/2024 |
| Medicare PECOS PAC ID | 2264873827 |
|---|---|
| Medicare Enrollment ID | O20240514000940 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942068739 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | (* (Not Available)) | Primary |
| Provider Name | Megan Marie Russell |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1770005845 PECOS PAC ID: 2860741741 Enrollment ID: I20180827001340 |
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