DR. KATHERINE ELLIS LIGHT PHD, PLP
NPI 1003637851
Psychologist - Clinical in Columbia, MO

Active since October 23, 2024
3401 BERRYWOOD DR, COLUMBIA, MO 65201(573) 777-8330(573) 777-8390 Get Directions Write a Review

NPPES record last updated: August 6, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 6, 2025, May 22, 2025 (2 updates tracked since 2025).

About Dr. Katherine Ellis Light Phd, Plp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KATHERINE ELLIS LIGHT PHD, PLP (NPI 1003637851) is an individual clinical provider in Columbia, Missouri, licensed in Missouri (2025032893) and active in the NPI registry since October 2024.

NPPES Registry Identity

NPI1003637851
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. KATHERINE ELLIS LIGHTCredential: PHD, PLP
Location Address3401 BERRYWOOD DRColumbia, MO 65201-8372
Mailing AddressPo Box 844715Kansas City, MO 64184-4715 · (417) 761-5214 · Fax (417) 761-5065
Fax(573) 777-8390
Sole ProprietorNo
Enumeration DateOctober 23, 2024
Last NPPES UpdateAugust 6, 20252 updates tracked since enumeration
NPPES CertifiedAugust 6, 2025
NPI 1003637851 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in MO · 2025032893
Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

3401 BERRYWOOD DR, Columbia, MO 65201

Other Names 1

Former Name (1)Katherine Ellis Wadley

Accepted Insurance

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Medical Specialty)
3401 BERRYWOOD DR, SUITE 201
COLUMBIA, MO 65201
Social Worker (Clinical)
3401 BERRYWOOD DR, SUITE 204
COLUMBIA, MO 65201
Counselor (Professional)
3401 BERRYWOOD DR
COLUMBIA, MO 65201
Clinic/Center (Federally Qualified Health Center (FQHC))
3401 BERRYWOOD DR
COLUMBIA, MO 65201
Pharmacy
3401 BERRYWOOD DR
COLUMBIA, MO 65201
Psychiatry & Neurology (Psychiatry)
3401 BERRYWOOD DR
COLUMBIA, MO 65201
Counselor (Professional)
3401 BERRYWOOD DR
COLUMBIA, MO 65201
Social Worker (Clinical)
3401 BERRYWOOD DR
COLUMBIA, MO 65201

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003637851, enumerated as an "individual" on October 23, 2024.

The provider is located at 3401 BERRYWOOD DR COLUMBIA, MO 65201 and the phone number is (573) 777-8330.

Psychologist with taxonomy code 103TC0700X and a focus in Clinical.

The provider might be accepting Accepts: Oscar Insurance Company and UnitedHealthcare. Please consult your insurance carrier or call the provider to verify.