Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mary Mae Ellison

Individual provider Rehabilitation Practitioner · NPI 1851831754

Mary Mae Ellison is a Rehabilitation Practitioner in Oakland, California. Works from 2 locations. Registered with an NPI since 2017.

In the registry since
2017
Specialties on file
2
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

3301 E 12th St Ste 259
Oakland, CA 94601-2940
Phone: (510) 269-9030
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 508 Alabama St, Vallejo, CA 94590-4446 — (510) 318-6112

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X
Rehabilitation Practitioner Taxonomy 225400000X

Record details

NPI number1851831754
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 27, 2017
Last updated in NPPESOctober 30, 2022
Certification dateOctober 30, 2022

Other providers in Oakland