KERRY ELLIS
NPI 1649767203
Counselor - Mental Health in Medford, MA
About Kerry Ellis NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KERRY ELLIS (NPI 1649767203) is an individual mental health provider in Medford, Massachusetts and active in the NPI registry since April 2018.
NPPES Registry Identity
Specialties & Licenses
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 Kerry Ellis's NPI number?
The NPI number for Kerry Ellis is 1649767203. It was assigned to this individual provider in the NPPES registry on April 19, 2018.
Where is Kerry Ellis located?
Kerry Ellis practices at 190 High St Apt 210, Medford, MA 02155. The listed phone number is (339) 223-7727.
What is Kerry Ellis's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
When was this NPI record last updated?
The NPPES record for Kerry Ellis was last updated on April 19, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Kerry Ellis · NPI 1649767203
Mental Health provider in Medford, Massachusetts. Individual provider, active in the CMS NPPES registry since April 19, 2018.
## Identity
- **NPI:** 1649767203 (Entity type: Individual)
- **Enumerated:** April 19, 2018
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 190 HIGH ST APT 210, Medford, MA 02155-3810
- **Phone:** (339) 223-7727
## Record status
- **NPPES last updated:** April 19, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1649767203) · Data from the CMS NPPES public registry.