DR. JESSICA ROSE ELLEM PHD
NPI 1043079197
Psychologist - Clinical in Ann Arbor, MI

Q: What is Jessica Ellem's NPI number?

The NPI number for Jessica Ellem is 1043079197. It was assigned to this individual provider in the NPPES registry on March 18, 2024. The provider is also known as Jessica Rose Winder.

Q: What is Jessica Ellem's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Jessica Ellem was last updated on March 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since March 18, 2024

2215 FULLER ROAD, MENTAL HEALTH SERVICE LINE, ANN ARBOR, MI 48105(734) 769-7100 Get Directions Write a Review

NPPES record last updated: March 18, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Jessica Rose Ellem Phd NPPES

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

DR. JESSICA ROSE ELLEM PHD (NPI 1043079197) is an individual clinical provider in Ann Arbor, Michigan, licensed in Michigan (6351004650) and active in the NPI registry since March 2024.

NPPES Registry Identity

NPI1043079197

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. JESSICA ROSE ELLEMCredential: PHD

Location Address2215 FULLER ROAD, MENTAL HEALTH SERVICE LINEAnn Arbor, MI 48105

Mailing Address7341 Wilderness Park Dr Apt 303Westland, MI 48185-5974 · (813) 468-8621

Phone(734) 769-7100

Sole ProprietorYes

Enumeration DateMarch 18, 2024

NPPES CertifiedMarch 18, 2024

✔ NPI 1043079197 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 MI · 6351004650

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.

2215 FULLER ROAD, Ann Arbor, MI 48105

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Other Names 1

Former Name (1)Jessica Rose Winder

Other Providers at the Same Location NPPES 18

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

TONI DESTER LMSW

Social Worker (Clinical)

2215 FULLER ROAD, SOCIAL WORK SERVICE
ANN ARBOR, MI 48105

Washtenaw County (734) 709-9234

LISA HEARD

Licensed Practical Nurse

2215 FULLER ROAD
ANN ARBOR, MI 48105

Washtenaw County (419) 259-2000

DR. ELIZABETH MARIE CLAFLIN WYDERKO D.D.S.

Dentist (General Practice)

2215 FULLER ROAD, DENTAL SERVICE 160
ANN ARBOR, MI 48105

Washtenaw County (734) 769-7100

DR. PAMELA JEANNE REEVES MD

Internal Medicine

2215 FULLER ROAD
ANN ARBOR, MI 48105

Washtenaw County (734) 760-7100

MRS. KAREN FOUTY PT, DPT

Physical Therapist

2215 FULLER ROAD
ANN ARBOR, MI 48105

Washtenaw County (734) 769-7100

MICHAEL ANDREW CLAY II M.D.

Internal Medicine

2215 FULLER ROAD, DEPARTMENT OF VETERAN AFFAIRS-AMBULATORY CARE (11A)
ANN ARBOR, MI 48105

Washtenaw County (734) 769-7100

MRS. JILL LEIGH SAVAGE LLMSW

Social Worker (Clinical)

2215 FULLER ROAD
ANN ARBOR, MI 48105

Washtenaw County (734) 769-7100

MRS. CYNTHIA ANN JACHYM RN

Registered Nurse

2215 FULLER ROAD
ANN ARBOR, MI 48105

Washtenaw County (734) 769-7100

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 Jessica Ellem's NPI number?

The NPI number for Jessica Ellem is 1043079197. It was assigned to this individual provider in the NPPES registry on March 18, 2024. The provider is also known as Jessica Rose Winder.

Where is Jessica Ellem located?

Jessica Ellem practices at 2215 Fuller Road Mental Health Service Line, Ann Arbor, MI 48105. The listed phone number is (734) 769-7100.

What is Jessica Ellem's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Jessica Ellem was last updated on March 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.