Individual
DR. JAMES M ELLISON
Active
Individual
DR. JAMES M ELLISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
44908
MA
2084P0805X
Geriatric Psychiatry Physician
44908
MA
2084P0805X
Geriatric Psychiatry Physician
Primary
C-0011443
DE
2084P0805X
Geriatric Psychiatry Physician
Primary
MD476205
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0164127
—
MA
Enumeration date
06/21/2005
Last updated
08/25/2026
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