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

Matthew Ellam, CNP

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1083006696

Matthew Ellam, CNP is a Nurse Practitioner in Brookline, Massachusetts. Qualified in 2015, 11 years ago. Works from 2 locations and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
11
Licensed in
MA
In the registry since
2015
Specialties on file
2
What do these letters mean?
CNP — Certified Nurse Practitioner
A certified nurse practitioner.

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Practice location Address checks out

1330 Beacon St Ste 202
Brookline, MA 02446-3202
Phone: (617) 354-4450
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6 Liberty Sq # 96730, Boston, MA 02109-5800 — (617) 286-6764

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence RN2295977 (MA)
Registered Nurse Taxonomy 163W00000X · Licence RN2295977 (MA)

Record details

NPI number1083006696
Entity typeIndividual (Type 1)
GenderMale
Credentials CNP
Sole proprietorNo
NPI enumeratedFebruary 19, 2015
Last updated in NPPESMarch 5, 2021
Certification dateMarch 5, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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