| Ellie Mental Health | |
|
1 De Mercurio Dr Ste 7 Allendale NJ 07401-1737 | |
| (201) 975-5196 | |
| Not Available |
| Full Name | Ellie Mental Health |
|---|---|
| Speciality | Counselor |
| Location | 1 De Mercurio Dr Ste 7, Allendale, New Jersey |
| Authorized Official Name and Position | Barbaros Dinler (CLINIC DIRECTOR) |
| Authorized Official Contact | 2019755196 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ellie Mental Health 1 De Mercurio Dr Ste 7 Allendale NJ 07401-1737 Ph: (201) 975-5196 | Ellie Mental Health 1 De Mercurio Dr Ste 7 Allendale NJ 07401-1737 Ph: (201) 975-5196 |
| NPI Number | 1780372862 |
|---|---|
| Provider Enumeration Date | 04/27/2023 |
| Last Update Date | 02/20/2024 |
| Certification Date | 05/19/2023 |
| Medicare PECOS PAC ID | 2567807217 |
|---|---|
| Medicare Enrollment ID | O20240304002490 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780372862 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
| Provider Name | Cindy Caneja |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952853673 PECOS PAC ID: 0648615302 Enrollment ID: I20240304002919 |
| Provider Name | Barbaros Dinler |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1063532687 PECOS PAC ID: 5294170940 Enrollment ID: I20240304003253 |
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