Ellie Main Line LLC
NPI 1528752037 · Mental Health Clinic/Center (Including Community Mental Health Center) · Malvern, PA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ellie Main Line LLC is a Mental Health Clinic/Center (Including Community Mental Health Center) organization in Malvern, PA (NPI 1528752037).
Provider details
- NPI number
- 1528752037
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Kristin Dutka, Owner(910) 515-1340
Specialties & taxonomies
Ambulatory Health Care Facilities
- Mental Health Counselor101YM0800X
Behavioral Health & Social Service Providers
- Professional Counselor101YP2500X
Behavioral Health & Social Service Providers
- Psychologist103T00000X
Behavioral Health & Social Service Providers
- Clinical Social Worker1041C0700X
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Ellie Mental Health
- Doing business as
- Ellie Mental Health
Registry dates
- Enumerated
- 2023-06-07
- Last updated
- 2024-04-04
- Certified
- 2024-04-03
Frequently asked questions
- What is Ellie Main Line LLC's NPI number?
- Ellie Main Line LLC's National Provider Identifier (NPI) is 1528752037, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ellie Main Line LLC?
- Ellie Main Line LLC is classified in the NPPES registry as Mental Health Clinic/Center (Including Community Mental Health Center) (Ambulatory Health Care Facilities).
- Where is Ellie Main Line LLC located?
- Ellie Main Line LLC's practice location on file with NPPES is 1200 Atwater Dr Ste 130, Malvern, PA 19355-8782.
- What is Ellie Main Line LLC's phone number?
- The practice phone number listed in the NPPES registry for Ellie Main Line LLC is (610) 646-1851.
- Does Ellie Main Line LLC accept Medicare?
- Ellie Main Line LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Ellie Main Line LLC?
- The authorized official listed on Ellie Main Line LLC's NPPES record is Kristin Dutka, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ellie Main Line LLC's NPI active?
- Yes — Ellie Main Line LLC's NPI (1528752037) is active in the NPPES registry as of the last update on 2024-04-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.