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ELLIE MENTAL HEALTH
NPI 1528752037
Clinic/Center - Mental Health (Including Community Mental Health Center) in Malvern, PA

Active since June 07, 2023
1200 ATWATER DR STE 130, MALVERN, PA 19355(610) 646-1851(484) 355-5181 Get Directions Write a Review

NPPES record last updated: April 4, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 4, 2024, Jun 7, 2023 (2 updates tracked since 2023).

About Ellie Mental Health NPPES

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

ELLIE MENTAL HEALTH (NPI 1528752037) is a healthcare organization registered as a mental health (including community mental health center) in Malvern, Pennsylvania and active in the NPI registry since June 2023. The organization lists Kristin Dutka, Owner, as its authorized official.

NPPES Registry Identity

NPI1528752037
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameELLIE MAIN LINE LLC
Location Address1200 ATWATER DR STE 130Malvern, PA 19355-8782
Mailing Address392 Merlin RdPhoenixville, PA 19460-2109 · (910) 515-1340
Phone(610) 646-1851
Fax(484) 355-5181
Organization SubpartNo
Authorized OfficialKristin DutkaOwner · (910) 515-1340
Enumeration DateJune 7, 2023
Last NPPES UpdateApril 4, 20242 updates tracked since enumeration
NPPES CertifiedApril 3, 2024
✔ NPI 1528752037 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X
Also ListedPsychologistTaxonomy 103T00000X
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
1200 ATWATER DR STE 130, Malvern, PA 19355
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Other Names 1

Doing Business AsEllie Mental Health

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 13

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

ROSE D MONTGOMERY MSW, LCSW
Social Worker (Clinical)
1200 ATWATER DR STE 130
MALVERN, PA 19355
Chester County (610) 646-1851
EMILY JOY STONE MS, LPC
Counselor (Professional)
1200 ATWATER DR STE 130
MALVERN, PA 19355
Chester County (610) 646-1851
DANA GREENLEE MS, LPC
Counselor (Professional)
1200 ATWATER DR STE 130
MALVERN, PA 19355
Chester County (610) 646-1851
ANNA PIERCE FREDERICK MSSW, LCSW
Social Worker (Clinical)
1200 ATWATER DR STE 130
MALVERN, PA 19355
Chester County (610) 646-1851
JENNY MATLACK MA, LPC, NCC
Counselor (Professional)
1200 ATWATER DR STE 130
MALVERN, PA 19355
Chester County (610) 646-1851
JACQUELINE GAZZARA MSW,LCSW
Social Worker (Clinical)
1200 ATWATER DR STE 130
MALVERN, PA 19355
Chester County (610) 646-1851
MR. GARY DAVID ENGLISH MS, LPC
Counselor (Professional)
1200 ATWATER DR STE 130
MALVERN, PA 19355
Chester County (610) 632-7745
SAMANTHA ROSE CARTAGENA
Counselor (Mental Health)
1200 ATWATER DR STE 130
MALVERN, PA 19355
Chester County (610) 646-1851

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 Ellie Main Line LLC's NPI number?

The NPI number for Ellie Main Line LLC is 1528752037. It was assigned to this organization in the NPPES registry on June 7, 2023. The provider is doing business as Ellie Mental Health.

Where is Ellie Main Line LLC located?

Ellie Main Line LLC is located at 1200 Atwater Dr Ste 130, Malvern, PA 19355. The listed phone number is (610) 646-1851.

What is Ellie Main Line LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Ellie Main Line LLC was last updated on April 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.