ELLIE MENTAL HEALTH
NPI 1528752037
Clinic/Center - Mental Health (Including Community Mental Health Center) in Malvern, PA
NPI Status: Active since June 07, 2023
Contact Information
1200 ATWATER DR STE 130
MALVERN, PA
ZIP 19355
Phone: (610) 646-1851
Fax: (484) 355-5181
- Organization
- Clinic/Center
- Mental Health (Including Community Menta...
About ELLIE MENTAL HEALTH
This page provides the complete NPI Profile along with additional information for Ellie Mental Health, a provider established in Malvern, Pennsylvania operating as a Clinic/center, focusing in mental health (including community mental health center) . The healthcare provider is registered in the NPI registry with number 1528752037 assigned on June 2023. The practitioner's primary taxonomy code is 261QM0801X. The provider is registered as an organization and their NPI record was last updated one year ago. Ellie Mental Health operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Ellie Mental Health. The authorized official of this NPI record is Kristin Dutka (Owner)
- NPI
- 1528752037
- Provider Legal Name
- ELLIE MAIN LINE LLC
- Other Organization Name
- ELLIE MENTAL HEALTH
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1200 ATWATER DR STE 130 MALVERN, PA 19355
- Location Phone
- (610) 646-1851
- Location Fax
- (484) 355-5181
- Mailing Address
- 392 MERLIN RD PHOENIXVILLE, PA 19460
- Mailing Phone
- (910) 515-1340
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-07-2023
- Last Update Date
- 04-04-2024
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Mental Health (Including Community Mental Health Center)
- Taxonomy Code
- 261QM0801X
- Type
- Ambulatory Health Care Facilities
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 101YM0800X | Behavioral Health & Social Service Providers | Counselor | |
| 2 | 101YP2500X | Behavioral Health & Social Service Providers | Counselor | |
| 3 | 103T00000X | Behavioral Health & Social Service Providers | Psychologist | |
| 4 | 1041C0700X | Behavioral Health & Social Service Providers | Social Worker |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Reviews for ELLIE MENTAL HEALTH
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 5 | 2 | 8 | 7 | 5 | 2 | 0 | 3 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 4 | 8 | 14 | 5 | 4 | 0 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 4 + 8 + 1 + 4 + 5 + 4 + 0 + 6 + 24 = 63 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 63 = 7 | 7 | ||||||||
The NPI number 1528752037 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 11 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1124626254 | ROSE D MONTGOMERY MSW, LCSW Individual | Social Worker (Clinical) | 1200 ATWATER DR STE 130 MALVERN, PA 19355 (610) 646-1851 |
| 1184028805 | EMILY JOY STONE MS, LPC Individual | Counselor (Professional) | 1200 ATWATER DR STE 130 MALVERN, PA 19355 (610) 646-1851 |
| 1336250612 | ANNA PIERCE FREDERICK MSSW, LCSW Individual | Social Worker (Clinical) | 1200 ATWATER DR STE 130 MALVERN, PA 19355 (610) 646-1851 |
| 1376940015 | JENNY MATLACK MA, LPC, NCC Individual | Counselor (Professional) | 1200 ATWATER DR STE 130 MALVERN, PA 19355 (610) 646-1851 |
| 1548654866 | MEGAN ANNE LEVAN MA, LPC Individual | Counselor (Professional) | 1200 ATWATER DR STE 130 MALVERN, PA 19355 (610) 646-1851 |
| 1851721104 | DR. JENNA NICOLE MERCADANTE PSYD Individual | Psychologist | 1200 ATWATER DR STE 130 MALVERN, PA 19355 (610) 646-1851 |
| 1982110227 | NICOLAS SHERIDAN MA, LPC Individual | Counselor (Professional) | 1200 ATWATER DR STE 130 MALVERN, PA 19355 (610) 646-1851 |
| 1831750611 | THOMAS DE VITIS JR. MA, LPC Individual | Counselor (Professional) | 1200 ATWATER DR STE 130 MALVERN, PA 19355 (610) 646-1851 |
| 1295507267 | DANA GREENLEE MS, LPC Individual | Counselor (Professional) | 1200 ATWATER DR STE 130 MALVERN, PA 19355 (610) 646-1851 |
| 1922332949 | MS. ELIZABETH DALLAS KNOWLTON LPC, MA Individual | Counselor (Professional) | 1200 ATWATER DR STE 130 MALVERN, PA 19355 (610) 646-1851 |
| 1407354350 | JACQUELINE GAZZARA MSW,LCSW Individual | Social Worker (Clinical) | 1200 ATWATER DR STE 130 MALVERN, PA 19355 (610) 646-1851 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1528752037, enumerated in the NPI registry as an "organization" on June 07, 2023
The provider is located at 1200 Atwater Dr Ste 130 Malvern, Pa 19355 and the phone number is (610) 646-1851
This medical organization specializes in Clinic/Center with taxonomy code 261QM0801X with a focus in Mental Health (Including Community Mental Health Center)
This NPI record was last updated on June 07, 2023. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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