MARY ELLIS PSYD
NPI 1720594088
Psychologist in Boston, MA

Active since December 22, 2017
7 DRYDOCK AVE STE 2070, BOSTON, MA 02210(857) 203-6461 Get Directions Write a Review

NPPES record last updated: June 21, 2023. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jun 21, 2023, Dec 22, 2017 (2 updates tracked since 2017).

About Mary Ellis Psyd NPPES

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

MARY ELLIS PSYD (NPI 1720594088) is an individual psychologist in Boston, Massachusetts, licensed in Massachusetts (11988) and active in the NPI registry since December 2017.

NPPES Registry Identity

NPI1720594088
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameMARY ELLISCredential: PSYD
Location Address7 DRYDOCK AVE STE 2070Boston, MA 02210-2303
Mailing Address3640 Colonel Glenn HwyDayton, OH 45435-0001 · (937) 775-3458 · Fax (937) 775-3434
Sole ProprietorNo
Enumeration DateDecember 22, 2017
Last NPPES UpdateJune 21, 20232 updates tracked since enumeration
NPPES CertifiedJune 21, 2023
✔ NPI 1720594088 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 · 11988
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.
7 DRYDOCK AVE STE 2070, Boston, MA 02210

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 Mary Ellis's NPI number?

The NPI number for Mary Ellis is 1720594088. It was assigned to this individual provider in the NPPES registry on December 22, 2017.

Where is Mary Ellis located?

Mary Ellis practices at 7 Drydock Ave Ste 2070, Boston, MA 02210. The listed phone number is (857) 203-6461.

What is Mary Ellis's specialty?

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

When was this NPI record last updated?

The NPPES record for Mary Ellis was last updated on June 21, 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.