Stacy Ellis is a Clinical in Aurora, Illinois. Stacy Ellis practices all healthcare services and medical treatments related to Clinical. The NPI Number for Stacy Ellis is 1912184326. The last update date is 2020-03-09.
Stacy Ellis's current location address is 1900 Ogden Ave Ste 106, Aurora, Illinois. You can contact this provider via phone number 6304057265 and fax number 6302568009. The mailing address for Stacy Ellis is 1900 Ogden Ave Ste 106, Aurora, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stacy Ellis |
|---|---|
| Address | 1900 Ogden Ave Ste 106, Aurora, Illinois |
| Phone Number | 6304057265 |
| Fax Number | 6302568009 |
| Sole Proprietor | N |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1912184326 |
|---|---|
| Provider Enumeration Date | 2008-01-28 |
| Last Updated Date | 2020-03-09 |
Provider Mailing Address Detail
| Address | 1900 Ogden Ave Ste 106 |
|---|---|
| City | Aurora |
| State | Illinois (IL) |
| Post Code | 605044284 |
| Phone Number | 6304057265 |
| Fax Number | 6302568009 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 71.010228 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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What is the unique identifier code issued to Stacy Ellis by the Centers for Medicare & Medicaid Services (CMS)?
The Stacy Ellis has been assigned the NPI (National Provider Identifier) 1912184326. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the Stacy Ellis's physical address?
The Stacy Ellis is physically located at 1900 Ogden Ave Ste 106, in the city of Aurora, IL, with the postal code 605044284.
What is Stacy Ellis's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Stacy Ellis is Clinical, and the corresponding taxonomy classification code for this specialized field is 103Tc0700X.
On what date did the Stacy Ellis receive the assignment of its 1912184326 from the Centers for Medicare & Medicaid Services?
The Stacy Ellis was issued its 1912184326 by the Centers for Medicare & Medicaid Services on 2008-01-28.
When was the information regarding Stacy Ellis most recently updated?
The details pertaining to the Stacy Ellis, including its address, specialty, and other relevant information, were last refreshed on 2020-03-09.