| Susan G. Ellis, Ph.d., P.a. | |
|
3233 E Bay Dr Suite 100 Largo FL 33771-1900 | |
| (727) 536-2200 | |
| (727) 531-5088 |
| Full Name | Susan G. Ellis, Ph.d., P.a. |
|---|---|
| Speciality | Psychologist |
| Location | 3233 E Bay Dr, Largo, Florida |
| Authorized Official Name and Position | Susan G. Ellis (PRESIDENT) |
| Authorized Official Contact | 7275362200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Susan G. Ellis, Ph.d., P.a. 3233 E Bay Dr Suite 100 Largo FL 33771-1900 Ph: (727) 536-2200 | Susan G. Ellis, Ph.d., P.a. 3233 E Bay Dr Suite 100 Largo FL 33771-1900 Ph: (727) 536-2200 |
| NPI Number | 1801125869 |
|---|---|
| Provider Enumeration Date | 12/21/2009 |
| Last Update Date | 12/21/2009 |
| Medicare PECOS PAC ID | 2466471081 |
|---|---|
| Medicare Enrollment ID | O20051114000313 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801125869 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PY2173 (Florida) | Primary |
| Provider Name | Susan G Ellis |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1578633350 PECOS PAC ID: 7618996232 Enrollment ID: I20051115000147 |
Reachout4 Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 13785 Walsingham Rd, #440, Largo, FL 33774 Phone: 727-641-8878 | |
Family Care Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9900 Ulmerton Rd, 218, Largo, FL 33771 Phone: 727-515-1657 | |
Norton Consulting Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1101 Belcher Rd S Ste J, Largo, FL 33771 Phone: 727-531-7988 Fax: 727-531-0950 | |
Diagnostic Clinic Medical Group, Pa Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1551 W Bay Dr, Rehabilitation Department, Largo, FL 33770 Phone: 727-531-8767 | |
Pemhs,inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1614 Palm Way, Largo, FL 33771 Phone: 727-545-6477 Fax: 727-552-2463 | |
Deborah Bloome, Psy.d. Pa Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 14521 Walsingham Rd, Largo, FL 33774 Phone: 727-517-1938 | |
Pemhs, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1614 Palm Way, Largo, FL 33771 Phone: 727-545-6477 Fax: 727-538-7283 |