DR. KATHERINE DOROTHY ELLIS PHD, MSED
NPI 1063716058
Psychologist - Clinical in San Diego, CA

Q: What is Katherine Ellis's NPI number?

The NPI number for Katherine Ellis is 1063716058. It was assigned to this individual provider in the NPPES registry on January 5, 2011.

Q: What is Katherine Ellis'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 Katherine Ellis was last updated on August 29, 2018. 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.

Active since January 05, 2011

2801 4TH AVE, SAN DIEGO, CA 92103(888) 497-1314 Get Directions Write a Review

NPPES record last updated: August 29, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Dr. Katherine Dorothy Ellis Phd, Msed NPPES

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

DR. KATHERINE DOROTHY ELLIS PHD, MSED (NPI 1063716058) is an individual clinical provider in San Diego, California, licensed in California (PSY24263) and active in the NPI registry since January 2011.

NPPES Registry Identity

NPI1063716058

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. KATHERINE DOROTHY ELLISCredential: PHD, MSED

Location Address2801 4TH AVESan Diego, CA 92103

Mailing Address2801 4th AveSan Diego, CA 92103-6207 · (888) 497-1314 · Fax (888) 497-1314

Phone(888) 497-1314

Sole ProprietorYes

Enumeration DateJanuary 5, 2011

Last NPPES UpdateAugust 29, 2018

✔ NPI 1063716058 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 CA · PSY24263

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.

2801 4TH AVE, San Diego, CA 92103

Open in Google Maps ↗

Other Providers at the Same Location NPPES 10

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

DR. JAMES PAUL YURGEL JR. D.C.

Chiropractor