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DR. LYDIA ISABELLE BLACKWOOD-ELLIS PH.D.
NPI 1063032324
Psychologist - Clinical in Washington, DC

Active since April 16, 2020Opted out of Medicare · through Jul 1, 2028
7826 EASTERN AVE NW STE 325, WASHINGTON, DC 20012(202) 726-6062(202) 726-0032 Get Directions Write a Review

NPPES record last updated: April 16, 2020. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About Dr. Lydia Isabelle Blackwood-ellis Ph.d. NPPES

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

DR. LYDIA ISABELLE BLACKWOOD-ELLIS PH.D. (NPI 1063032324) is an individual clinical provider in Washington, District Of Columbia, licensed in District Of Columbia (01445) and active in the NPI registry since April 2020. She has opted out of Medicare through July 1, 2028.

NPPES Registry Identity

NPI1063032324
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. LYDIA ISABELLE BLACKWOOD-ELLISCredential: PH.D.
Location Address7826 EASTERN AVE NW STE 325Washington, DC 20012-1334
Mailing Address7826 Eastern Ave Nw Ste 325Washington, DC 20012-1334 · (202) 726-6062 · Fax (302) 726-0032
Phone(202) 726-6062
Fax(202) 726-0032
Sole ProprietorYes
Enumeration DateApril 16, 2020
NPPES CertifiedApril 16, 2020
✔ NPI 1063032324 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 DC · 01445
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.
7826 EASTERN AVE NW STE 325, Washington, DC 20012
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Lydia Isabelle Blackwood-ellis Ph.d. 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 July 1, 2022 through July 1, 2028.

Opt-Out Effective DateJuly 1, 2022
Opt-Out In Effect ThroughJuly 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

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

DR. WILLIAM HENRY BYRD
Psychologist (Clinical)
7826 EASTERN AVE NW STE 325
WASHINGTON, DC 20012
District of Columbia (202) 726-6062

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 Lydia Blackwood-ellis's NPI number?

The NPI number for Lydia Blackwood-ellis is 1063032324. It was assigned to this individual provider in the NPPES registry on April 16, 2020.

Where is Lydia Blackwood-ellis located?

Lydia Blackwood-ellis practices at 7826 Eastern Ave NW Ste 325, Washington, DC 20012. The listed phone number is (202) 726-6062.

What is Lydia Blackwood-ellis's specialty?

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

Is Lydia Blackwood-ellis enrolled in Medicare?

No. Lydia Blackwood-ellis has opted out of Medicare through July 1, 2028. 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 Lydia Blackwood-ellis was last updated on April 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.