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KATIE ROSE ELLSTROM DNP, RN, PMHNP-BC
NPI 1710752035
Nurse Practitioner - Psychiatric/Mental Health in Southfield, MI

Active since November 16, 2023
29500 SOUTHFIELD RD, SOUTHFIELD, MI 48076(248) 765-1795 Get Directions Write a Review

NPPES record last updated: April 4, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 4, 2024, Nov 16, 2023 (2 updates tracked since 2023).

About Katie Rose Ellstrom Dnp, Rn, Pmhnp-bc NPPES

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

KATIE ROSE ELLSTROM DNP, RN, PMHNP-BC (NPI 1710752035) is an individual psychiatric/mental health provider in Southfield, Michigan, licensed in Michigan (4704339527) and active in the NPI registry since November 2023.

NPPES Registry Identity

NPI1710752035
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameKATIE ROSE ELLSTROMCredential: DNP, RN, PMHNP-BC
Location Address29500 SOUTHFIELD RDSouthfield, MI 48076-2030
Mailing Address29500 Southfield RdSouthfield, MI 48076-2030 · (248) 765-1795
Phone(248) 765-1795
Sole ProprietorYes
Enumeration DateNovember 16, 2023
Last NPPES UpdateApril 4, 20242 updates tracked since enumeration
NPPES CertifiedApril 4, 2024
✔ NPI 1710752035 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
License✔ Licensed in MI · 4704339527
29500 SOUTHFIELD RD, Southfield, MI 48076
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

Other Providers at the Same Location NPPES 11

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

GUARDIAN MEDICAL EQUIPMENT, INC.
Durable Medical Equipment & Medical Supplies
29500 SOUTHFIELD RD, SUITE 102
SOUTHFIELD, MI 48076
Oakland County (248) 395-0590
SARAH KATHLEEN RIMACK
Psychologist (Clinical Child & Adolescent)
29500 SOUTHFIELD RD
SOUTHFIELD, MI 48076
Oakland County (248) 765-1795
SALLY KAFELGHAZAL PHD
Psychologist
29500 SOUTHFIELD RD
SOUTHFIELD, MI 48076
Oakland County (248) 765-1795
SELECT HOME HEALTH SERVICES, LLC
Home Health
29500 SOUTHFIELD RD, SUITE 130
SOUTHFIELD, MI 48076
Oakland County (248) 233-6186
ALEC R CAMPBELL RN
Nurse Practitioner (Psychiatric/Mental Health)
29500 SOUTHFIELD RD
SOUTHFIELD, MI 48076
Oakland County (248) 765-1795
DR. MORRIS EDWARD GALES III MD, CWS, FCCWS
Surgery
29500 SOUTHFIELD RD, SUITE 100
SOUTHFIELD, MI 48076
Oakland County (248) 423-1550
FINE TOUCH HOME CARE INC
Home Health
29500 SOUTHFIELD RD, SUITE 100
SOUTHFIELD, MI 48076
Oakland County (248) 233-6445
DR. CASSIDY B SLADE PSYD
Psychologist
29500 SOUTHFIELD RD
SOUTHFIELD, MI 48076
Oakland County (248) 765-1795

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 Katie Ellstrom's NPI number?

The NPI number for Katie Ellstrom is 1710752035. It was assigned to this individual provider in the NPPES registry on November 16, 2023.

Where is Katie Ellstrom located?

Katie Ellstrom practices at 29500 Southfield Rd, Southfield, MI 48076. The listed phone number is (248) 765-1795.

What is Katie Ellstrom's specialty?

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

What insurance does Katie Ellstrom accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Katie Ellstrom 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 Katie Ellstrom 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.