TAMMY KENDAL ELLISON LCSW
NPI 1033447354
Behavior Analyst in Albuquerque, NM

Active since November 24, 2009PECOS EnrolledAccepts Medicare Assignment
2765 WOLFBERRY PL NE, ALBUQUERQUE, NM 87122(505) 401-4088(505) 899-4508 Get Directions Write a Review

NPPES record last updated: June 11, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tammy Kendal Ellison Lcsw NPPES

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

TAMMY KENDAL ELLISON LCSW (NPI 1033447354) is an individual behavior analyst provider in Albuquerque, New Mexico, licensed in New Mexico (C-08200) and active in the NPI registry since November 2009. She is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1033447354
Entity TypeIndividualFemale
Primary Taxonomy103K00000X
Provider Legal NameTAMMY KENDAL ELLISONCredential: LCSW
Location Address2765 WOLFBERRY PL NEAlbuquerque, NM 87122-1228
Mailing Address2765 Wolfberry Pl NeAlbuquerque, NM 87122-1228 · (505) 401-4088 · Fax (505) 298-7380
Fax(505) 899-4508
Sole ProprietorYes
Medical School CMSOtherGraduated 2009
Enumeration DateNovember 24, 2009
Last NPPES UpdateJune 11, 2026
NPPES CertifiedJune 11, 2026
NPI 1033447354 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers
Taxonomy Code103K00000X
License Licensed in NM · C-08200
Definition
A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.
2765 WOLFBERRY PL NE, Albuquerque, NM 87122

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Tammy Kendal Ellison Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6709184971
PECOS Enrollment IDI20160421001063
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
264 services12 patients

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tammy Ellison's NPI number?

The NPI number for Tammy Ellison is 1033447354. It was assigned to this individual provider in the NPPES registry on November 24, 2009.

Where is Tammy Ellison located?

Tammy Ellison practices at 2765 Wolfberry Pl NE, Albuquerque, NM 87122. The listed phone number is (505) 401-4088.

What is Tammy Ellison's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

Is Tammy Ellison enrolled in Medicare?

Yes. Tammy Ellison is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Tammy Ellison was last updated on June 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.