Braaten, Ellen B
Braaten, Ellen B is an individual health care provider with primary practice located at 5 Emerson Pl E05 105, Boston MA 02114-2240. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Braaten, Ellen B can be contacted via phone (617) 724-9813.Contact Information
Primary practice address
5 Emerson Pl E05 105
Boston MA 02114-2240
Phone: (617) 724-9813
Fax: (617) 724-3726
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 7752 | Massachusetts |
Profile Details
| NPI number | 1629068804 |
|---|---|
| LBN Legal business name | Braaten, Ellen B |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 27th, 2005 |
| Last updated | Jul 13th, 2026 - about 3 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629068804 | NPPES |
| Massachusetts | Other | 723413 | TUFTS HEALTH PLAN |
| Massachusetts | Other | W05976 | TUFTS HEALTH PLAN |
| Massachusetts | MEDICAID | 0500160 | TUFTS HEALTH PLAN |
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