DR. ELLEN D NANNIS PH.D.
NPI 1831204932
Psychologist in Lexington, MA

Active since August 20, 2006PECOS Enrolled
57 BEDFORD ST, SUITE 125, LEXINGTON, MA 02420(781) 861-1818(781) 861-2057 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Ellen D Nannis Ph.d. NPPES

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

DR. ELLEN D NANNIS PH.D. (NPI 1831204932) is an individual psychologist in Lexington, Massachusetts, licensed in Massachusetts (6950) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1831204932
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. ELLEN D NANNISCredential: PH.D.
Location Address57 BEDFORD ST, SUITE 125Lexington, MA 02420-4500
Mailing Address38 Lincoln StLexington, MA 02421-6824 · (781) 861-1818 · Fax (781) 861-2057
Fax(781) 861-2057
Sole ProprietorYes
Enumeration DateAugust 20, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1831204932 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 · 6950
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.

57 BEDFORD ST, Lexington, MA 02420

Other Identifiers 4

Other755578MA · Tufts Provider Number
Other11434MA · Options Provider Number
Medicare ID-Type UnspecifiedNA W51323MA · Medicare Part B
OtherW05477MA · Blue Cross Provider Numbe

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Ellen D Nannis Ph.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Internal Medicine
57 BEDFORD ST, STE 130
LEXINGTON, MA 02420
Internal Medicine
57 BEDFORD ST, STE 130
LEXINGTON, MA 02420
Internal Medicine
57 BEDFORD ST, STE 130
LEXINGTON, MA 02420
Nurse Practitioner (Women's Health)
57 BEDFORD ST, STE 205
LEXINGTON, MA 02420
Dermatology
57 BEDFORD ST, STE 211
LEXINGTON, MA 02420
Obstetrics & Gynecology
57 BEDFORD ST
LEXINGTON, MA 02420
Social Worker (Clinical)
57 BEDFORD ST, SUITE 125
LEXINGTON, MA 02420
Social Worker (Clinical)
57 BEDFORD ST, SUITE 125
LEXINGTON, MA 02420
Dentist (General Practice)
57 BEDFORD ST, SUITE 110
LEXINGTON, MA 02420
Social Worker (Clinical)
57 BEDFORD ST, SUITE 125
LEXINGTON, MA 02420
Social Worker (Clinical)
57 BEDFORD ST, SUITE 125
LEXINGTON, MA 02420
Dentist (Orthodontics and Dentofacial Orthopedics)
57 BEDFORD ST, SUITE 120
LEXINGTON, MA 02420
Social Worker (Clinical)
57 BEDFORD ST, SUITE 125
LEXINGTON, MA 02420
Social Worker
57 BEDFORD ST
LEXINGTON, MA 02420
Social Worker (Clinical)
57 BEDFORD ST, SUITE 125
LEXINGTON, MA 02420
Speech-Language Pathologist
57 BEDFORD ST, SUITE 203
LEXINGTON, MA 02420
Dentist (General Practice)
57 BEDFORD ST
LEXINGTON, MA 02420
Dentist (General Practice)
57 BEDFORD ST, #205
LEXINGTON, MA 02420
Psychologist (Counseling)
57 BEDFORD ST, SUITE125
LEXINGTON, MA 02420
Speech-Language Pathologist
57 BEDFORD ST, SUITE 203
LEXINGTON, MA 02420

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1831204932, enumerated as an "individual" on August 20, 2006.

The provider is located at 57 BEDFORD ST SUITE 125 LEXINGTON, MA 02420 and the phone number is (781) 861-1818.

Psychologist with taxonomy code 103T00000X.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Harvard Pilgrim. Please consult your insurance carrier or call the provider to verify.