BRUCE ELLMAN PSYD
NPI 1033775382
Psychologist in Beverly Hills, CA

Active since May 13, 2019Opted out of Medicare · through Nov 8, 2027
415 N CAMDEN DR STE 106, BEVERLY HILLS, CA 90210(323) 819-9991 Get Directions Write a Review

NPPES record last updated: May 13, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bruce Ellman Psyd NPPES

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

BRUCE ELLMAN PSYD (NPI 1033775382) is an individual psychologist in Beverly Hills, California, licensed in California (21012) and active in the NPI registry since May 2019. He has opted out of Medicare through November 8, 2027.

NPPES Registry Identity

NPI1033775382
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameBRUCE ELLMANCredential: PSYD
Location Address415 N CAMDEN DR STE 106Beverly Hills, CA 90210-4436
Mailing Address415 N Camden Dr Ste 106Beverly Hills, CA 90210-4436 · (323) 819-9991
Sole ProprietorNo
Enumeration DateMay 13, 2019
NPI 1033775382 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in CA · 21012
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
415 N CAMDEN DR STE 106, Beverly Hills, CA 90210

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Bruce Ellman Psyd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from November 8, 2025 through November 8, 2027.

Opt-Out Effective DateNovember 8, 2025
Opt-Out In Effect ThroughNovember 8, 2027Opt-out affidavits renew automatically every two years unless cancelled

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 Bruce Ellman's NPI number?

The NPI number for Bruce Ellman is 1033775382. It was assigned to this individual provider in the NPPES registry on May 13, 2019.

Where is Bruce Ellman located?

Bruce Ellman practices at 415 N Camden Dr Ste 106, Beverly Hills, CA 90210. The listed phone number is (323) 819-9991.

What is Bruce Ellman's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Bruce Ellman enrolled in Medicare?

No. Bruce Ellman has opted out of Medicare through November 8, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Bruce Ellman was last updated on May 13, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.