Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Ellen Elizabeth Haynes Johnson , MS

Psychologist β€’ Springfield, MA

Active NPI 1073004925 Individual Practitioner Female Practitioner
Practice location in NPPES

3300 Main Street, 4a
Springfield, MA 011071112

Call 4137947035 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

3300 Main Street
4a

Springfield, MA 011071112

Telephone 4137947035

NPI first issued

2018

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Ellen Johnson has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Ellen Johnson as eligible to order or refer Medicare Part B clinical laboratory and imaging services and durable medical equipment (DME) for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Springfield and Massachusetts

51 active clinicians are listed under Psychologist with a practice address in Springfield, MA (2,367 in Massachusetts).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Springfield

7.8% of these 51 clinicians have the CMS telehealth indicator.

9.8% of these 51 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-08-09
Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

License # reported to NPPES MA PSY10000104

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Massachusetts Board of Registration in Medicine.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - CLINICAL PSYCHOLOGIST

Medicare Enrollment ID

I20230830001166

Enrollment State Jurisdiction

MA

PECOS Control ID

1658734256

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Not Eligible
Power Mobility Devices (PMD) Not Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

7 listed
Dr. Stuart Anfang , MD

Psychiatry & Neurology - Psychiatry

NPI 1033269410

Doctor of Medicine (M.D.)

Richard Cookish , LICSW

Social Worker - Clinical

NPI 1316525819

Licensed Independent Clinical Social Worker

Dr. Erin Johnson , MD

Psychiatry & Neurology - Psychiatry

NPI 1639563810

Doctor of Medicine (M.D.)

Susan Megas , RN, MSN, CS

Clinical Nurse Specialist - Psychiatric/Mental Health, Adult

NPI 1457486144

Registered Nurse, Master of Science in Nursing, CS

Barbara Sprague , PCNS

Clinical Nurse Specialist - Psychiatric/Mental Health, Adult

NPI 1780719336
NPI 1285779017

Doctor of Philosophy (Ph.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location August 09, 2023

Registered at 3300 MAIN STREET, 4A, SPRINGFIELD, MA 011071112 (Tel: 4137947035)

πŸ“
Updated Business Mailing Address August 09, 2023

Registered at 280 CHESTNUT STREET, 2ND FLOOR, SPRINGFIELD, MA 011991001 (Tel: 4137945700)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 09, 2023

Psychologist (license number reported to NPPES: MA PSY10000104)

βœ…
NPI Profile Active May 27, 2018

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) May 27, 2018

Registered at 1 OHIO UNIVERSITY DEPT OF PSYCHOLOGY, PORTER HALL ROOM 002, ATHENS, OH 45701 (Tel: 7405930902)

πŸ“
Business Mailing Address (Initial Record) May 27, 2018

Registered at 1 OHIO UNIVERSITY DEPT OF PSYCHOLOGY, PORTER HALL ROOM 002, ATHENS, OH 45701 (Tel: 7405930902)

πŸ‘€
Provider Name / Credentials (Initial Record) May 27, 2018

Recorded as ELLEN JOHNSON, M.S.

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 27, 2018

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration May 27, 2018

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1073004925
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 27, 2018
Last Update: August 09, 2023
Sole Proprietor: No

Other Psychologists in Springfield

All Psychologists in Springfield

Mailing Address

280 Chestnut Street, 2nd Floor

Springfield, MA 011991001

Phone: 4137945700

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.