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ELY PSYCHIATRIC SERVICES LLC
NPI 1609562586
Nurse Practitioner - Psychiatric/Mental Health in Cleveland, MS

Active since April 13, 2023
213 N PEARMAN AVE, CLEVELAND, MS 38732(662) 390-6244(949) 561-4976 Get Directions Write a Review

NPPES record last updated: October 25, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 25, 2023, Apr 13, 2023 (2 updates tracked since 2023).

About Ely Psychiatric Services Llc NPPES

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

ELY PSYCHIATRIC SERVICES LLC (NPI 1609562586) is a healthcare organization registered as a psychiatric/mental health in Cleveland, Mississippi and active in the NPI registry since April 2023. The organization lists Mary Cay Brooks Ely, Owner, as its authorized official.

NPPES Registry Identity

NPI1609562586
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameELY PSYCHIATRIC SERVICES LLC
Location Address213 N PEARMAN AVECleveland, MS 38732-2633
Mailing AddressPo Box 520Marion, MS 39342-0520 · (601) 646-7700 · Fax (888) 735-7202
Phone(662) 390-6244
Fax(949) 561-4976
Organization SubpartNo
Authorized OfficialMary Cay Brooks ElyOwner · (601) 646-7800
Enumeration DateApril 13, 2023
Last NPPES UpdateOctober 25, 20232 updates tracked since enumeration
NPPES CertifiedOctober 25, 2023
✔ NPI 1609562586 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
213 N PEARMAN AVE, Cleveland, MS 38732
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ely Psychiatric Services Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Ely Psychiatric Services LLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Mary Cay Ely, NP
Nurse Practitioner
NPI 1639477425
213 N PEARMAN AVE
Cleveland, MS 38732
(662) 588-3911
✔ PECOS✔ Accepts Medicare3.0 mi
Karminee Love, LPC
Mental Health Counselor
NPI 1023524329
503 KENNEDY DR
Rosedale, MS 38769
(662) 719-3811
✔ PECOS19 mi

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

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 Ely Psychiatric Services LLC's NPI number?

The NPI number for Ely Psychiatric Services LLC is 1609562586. It was assigned to this organization in the NPPES registry on April 13, 2023.

Where is Ely Psychiatric Services LLC located?

Ely Psychiatric Services LLC is located at 213 N Pearman Ave, Cleveland, MS 38732. The listed phone number is (662) 390-6244.

What is Ely Psychiatric Services LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Ely Psychiatric Services LLC enrolled in Medicare?

Yes. Ely Psychiatric Services LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ely Psychiatric Services LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Ely Psychiatric Services LLC, in Mental Health Counselor and Nurse Practitioner. A 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 the clinician's services. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Ely Psychiatric Services LLC accept?

Health plans from Molina Healthcare list Ely Psychiatric Services LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ely Psychiatric Services LLC was last updated on October 25, 2023. 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.