Organization
ELEMENTAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MATTHEW STEVENS ELLAM CNP (OWNER)
(617) 858-0313
Entity
Organization
Contact information
Practice address
56 BROAD ST STE 51014, BOSTON, MA 02109-4301
(617) 858-0313
(617) 604-3849
Mailing address
56 BROAD ST STE 51014, BOSTON, MA 02109-4301
(617) 858-0313
(617) 604-3849
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/29/2026
Last updated
01/29/2026
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