Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1790892313 Individual Practitioner Female Practitioner

Dr. Beverley Heidi Ellis , PhD

Psychologist • Boston, MA

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Dr. Beverley Ellis, PhD is a registered healthcare professional specializing in Psychologist in Boston, MA. Official NPI practice address is registered at 850 HARRISON AVE.

Practice Location & Contact Primary Location

Practice Address

850 Harrison Ave
Dowling 1n

Boston, MA 021184001

Telephone 6174142664
Fax 6174147534
Associated Practice Facility / Clinic
🏢 Boston Medical Center Facility NPI 1912121104

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Boston, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 15.1 Yrs
State Avg: 32.3 Yrs
Regional Practice Density
471 Specialists

Practicing in Boston, MA (2533 Statewide)

Telehealth Adoption Rate
20.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License MA MA8105

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Dr. Glenn Saxe , MD

Psychiatry & Neurology - Child & Adolescent Psychiatry

NPI 1538194287

Doctor of Medicine (M.D.)

Rashida Golden , LCSW

Social Worker - Clinical

NPI 1871789453

Licensed Clinical Social Worker

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 850 HARRISON AVE, DOWLING 1N, BOSTON, MA 021184001 (Tel: 6174142664)

📍
Updated Business Mailing Address July 08, 2007

Registered at 850 HARRISON AVE, DOWLING 1N, BOSTON, MA 021184001 (Tel: 6174142664)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as BEVERLEY ELLIS, PHD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Psychologist (License #MA8105 in MA)

🟢
Initial NPI Registration & Enumeration August 23, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Beverley Ellis. Be the first to share your experience!

Sign in to leave a review for Dr. Beverley Ellis

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1790892313
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 23, 2006
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

850 Harrison Ave, Dowling 1n

Boston, MA 021184001

Phone: 6174142664

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.