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JENNIFER DANIELLE ELLIS PH.D
NPI 1043925654
Psychologist - Clinical in Baltimore, MD

Active since January 18, 2023
5510 NATHAN SHOCK DR, BALTIMORE, MD 21224(410) 550-6346 Get Directions Write a Review

NPPES record last updated: April 7, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 7, 2023, Jan 18, 2023 (2 updates tracked since 2023).

About Jennifer Danielle Ellis Ph.d NPPES

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

JENNIFER DANIELLE ELLIS PH.D (NPI 1043925654) is an individual clinical provider in Baltimore, Maryland, licensed in Maryland (06673) and active in the NPI registry since January 2023.

NPPES Registry Identity

NPI1043925654
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameJENNIFER DANIELLE ELLISCredential: PH.D
Location Address5510 NATHAN SHOCK DRBaltimore, MD 21224-6823
Mailing Address6201 Greenleigh AveBaltimore, MD 21220-2004
Phone(410) 550-6346
Sole ProprietorNo
Enumeration DateJanuary 18, 2023
Last NPPES UpdateApril 7, 20232 updates tracked since enumeration
NPPES CertifiedApril 7, 2023
✔ NPI 1043925654 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 MD · 06673
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.
5510 NATHAN SHOCK DR, Baltimore, MD 21224
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Other Providers at the Same Location NPPES 11

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

DR. MICHAEL S KIDORF PH.D.
Psychologist (Clinical)
5510 NATHAN SHOCK DR, SUITE 1500
BALTIMORE, MD 21224
Baltimore City (410) 550-0006
DR. JENNIFER BARSKY REESE PHD
Psychologist
5510 NATHAN SHOCK DR, SUITE 100
BALTIMORE, MD 21224
Baltimore City (410) 550-7903
JOHNS HOPKINS UNIVERSITY
Counselor (Professional)
5510 NATHAN SHOCK DR
BALTIMORE, MD 21224
Baltimore City (410) 550-1600
MARY MARGARET BAILES LCPC
Counselor (Professional)
5510 NATHAN SHOCK DR
BALTIMORE, MD 21224
Baltimore City (410) 550-1600
DR. PATRICK HAMILTON FINAN PH.D.
Psychologist (Clinical)
5510 NATHAN SHOCK DR, SUITE 100
BALTIMORE, MD 21224
Baltimore City (410) 550-7901
DR. SHEERA LERMAN PH.D.
Psychologist (Rehabilitation)
5510 NATHAN SHOCK DR
BALTIMORE, MD 21224
Baltimore City (410) 550-7985
MRS. LETICIA VEHEMENTE MARTINEZ NANDA MS, CRNP
Nurse Practitioner (Adult Health)
5510 NATHAN SHOCK DR
BALTIMORE, MD 21224
Baltimore City (410) 550-0047
BRANDON WEISS PHD
Psychologist (Clinical)
5510 NATHAN SHOCK DR
BALTIMORE, MD 21224
Baltimore City (925) 360-6797

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 Jennifer Ellis's NPI number?

The NPI number for Jennifer Ellis is 1043925654. It was assigned to this individual provider in the NPPES registry on January 18, 2023.

Where is Jennifer Ellis located?

Jennifer Ellis practices at 5510 Nathan Shock Dr, Baltimore, MD 21224. The listed phone number is (410) 550-6346.

What is Jennifer Ellis'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 Jennifer Ellis was last updated on April 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.