MRS. ELLEN ELIZABETH HAYNES JOHNSON M.S.
NPI 1073004925
Psychologist in Springfield, MA

Active since May 27, 2018PECOS Enrolled
3300 MAIN STREET, 4A, SPRINGFIELD, MA 01107(413) 794-7035 Get Directions Write a Review

NPPES record last updated: August 9, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 9, 2023, May 27, 2018 (2 updates tracked since 2018).

About Mrs. Ellen Elizabeth Haynes Johnson M.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. ELLEN ELIZABETH HAYNES JOHNSON M.S. (NPI 1073004925) is an individual psychologist in Springfield, Massachusetts, licensed in Massachusetts (PSY10000104) and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073004925
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameMRS. ELLEN ELIZABETH HAYNES JOHNSONCredential: M.S.
Location Address3300 MAIN STREET, 4ASpringfield, MA 01107-1112
Mailing Address280 Chestnut Street, 2nd FloorSpringfield, MA 01199-1001 · (413) 794-5700
Sole ProprietorNo
Enumeration DateMay 27, 2018
Last NPPES UpdateAugust 9, 20232 updates tracked since enumeration
NPPES CertifiedAugust 9, 2023
✔ NPI 1073004925 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License✔ Licensed in MA · PSY10000104
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
3300 MAIN STREET, Springfield, MA 01107

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Ellen Elizabeth Haynes Johnson M.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Ellen Johnson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

General Acute Care Hospital
759 CHESTNUT ST
Springfield, MA 01199
  • Reassigned Medicare billing, Massachusetts enrollment
  • 14 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant (Medical)
3300 MAIN STREET
SPRINGFIELD, MA 01107
Advanced Practice Midwife
3300 MAIN STREET, SUITE 4D
SPRINGFIELD, MA 01107
Psychiatry & Neurology (Psychiatry)
3300 MAIN STREET, SUITE 3C & 3D
SPRINGFIELD, MA 01107
Nurse Practitioner (Family)
3300 MAIN STREET
SPRINGFIELD, MA 01107
Internal Medicine (Pulmonary Disease)
3300 MAIN STREET, 2ND FL, SUITE B
SPRINGFIELD, MA 01107
Physician Assistant (Medical)
3300 MAIN STREET, 3RD FL, SUITE C&D
SPRINGFIELD, MA 01107
Nurse Practitioner (Family)
3300 MAIN STREET, 3RD FL, SUITE A
SPRINGFIELD, MA 01107
Nurse Practitioner (Psychiatric/Mental Health)
3300 MAIN STREET
SPRINGFIELD, MA 01107

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ellen Johnson's NPI number?

The NPI number for Ellen Johnson is 1073004925. It was assigned to this individual provider in the NPPES registry on May 27, 2018.

Where is Ellen Johnson located?

Ellen Johnson practices at 3300 Main Street 4A, Springfield, MA 01107. The listed phone number is (413) 794-7035.

What is Ellen Johnson's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Ellen Johnson enrolled in Medicare?

Yes. Ellen Johnson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Ellen Johnson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ellen Johnson reassigns Medicare benefits to Baystate Medical Center Inc (Springfield, MA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ellen Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Ellen Johnson was last updated on August 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.