Provider Demographics
NPI:1255336145
Name:OCHS, ELLEN (RN, PCNS)
Entity type:Individual
Prefix:
First Name:ELLEN
Middle Name:
Last Name:OCHS
Suffix:
Gender:F
Credentials:RN, PCNS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26 INKBERRY LN
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02360-3637
Mailing Address - Country:US
Mailing Address - Phone:617-298-1608
Mailing Address - Fax:
Practice Address - Street 1:26 INKBERRY LN
Practice Address - Street 2:
Practice Address - City:PLYMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02360-3637
Practice Address - Country:US
Practice Address - Phone:617-298-1608
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-16
Last Update Date:2024-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA183538363LP0808X
MARN183538363LP0808X
MA183538 PC101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA12217408OtherHARVARD PILGRIM HEALTHCARE
MAEOPN0565OtherBLUE CROSS BLUE SHIELD
MA081469000OtherMAGELLAN BEHAVIORAL HEALT
MA762464OtherTUFTS HEALTH PLAN