| Ellie Mental Health Newton | |
|
109 Oak St Ste 201 Newton MA 02464-1493 | |
| (781) 910-9190 | |
| Not Available |
| Full Name | Ellie Mental Health Newton |
|---|---|
| Speciality | Counselor |
| Location | 109 Oak St Ste 201, Newton, Massachusetts |
| Authorized Official Name and Position | Mark V Falzone (MANAGEMENT COMPANY) |
| Authorized Official Contact | 7819109190 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ellie Mental Health Newton 76 Hammersmith Dr Saugus MA 01906-4404 Ph: (781) 910-9190 | Ellie Mental Health Newton 109 Oak St Ste 201 Newton MA 02464-1493 Ph: (781) 910-9190 |
| NPI Number | 1184313397 |
|---|---|
| Provider Enumeration Date | 05/03/2023 |
| Last Update Date | 08/06/2024 |
| Certification Date | 08/06/2024 |
| Medicare PECOS PAC ID | 2860847464 |
|---|---|
| Medicare Enrollment ID | O20231017004090 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184313397 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Caroline Victoria Karalias |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215589833 PECOS PAC ID: 5597110197 Enrollment ID: I20231017004095 |
| Provider Name | Emma Theiler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508640632 PECOS PAC ID: 8729434394 Enrollment ID: I20231102002048 |
| Provider Name | Martine Rossell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1942798533 PECOS PAC ID: 3779938378 Enrollment ID: I20231222002910 |
| Provider Name | Taylor Ashley Gray |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1457139743 PECOS PAC ID: 5597116426 Enrollment ID: I20240104003978 |
| Provider Name | Amanda E Steverman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982017042 PECOS PAC ID: 8325485329 Enrollment ID: I20240326003658 |
| Provider Name | Alexandra Abuhoff |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659043842 PECOS PAC ID: 9335589464 Enrollment ID: I20240506003817 |
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