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Emily Anne Ellens, MA, LLP

Psychologist in Zeeland, MI. Individual provider (NPI-1).

NPI number1477595031
StatusActive
Last updated in NPPESDec 28, 2022

Details

NPI
1477595031
Entity type
Individual (NPI-1)
Name
Emily Anne Ellens
Credential
MA, LLP
Sex
Female
Sole proprietor
Yes
Enumeration date
Jun 11, 2006
Certification date
Dec 28, 2022
Last updated
Dec 28, 2022

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103T00000X Psychologist6361000735MIYes
103T00000X Psychologist6301012310MI

Practice location

300 S State St Ste 13
Zeeland, MI 49464-1678

Phone 616-772-1733

Mailing address

6328 Village Ln
Zeeland, MI 49464-8250

Phone 616-990-3402

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Psychologist providers in Zeeland, MI

All 7 Psychologist providers in Zeeland · All 586 providers in Zeeland

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