DR. DAVID T. ELLIS PSY.D.
NPI 1093043754
Psychologist - Clinical in Princeton, WV

Q: What is David Ellis's NPI number?

The NPI number for David Ellis is 1093043754. It was assigned to this individual provider in the NPPES registry on November 18, 2009.

Q: What is David 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 David Ellis was last updated on September 16, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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 November 18, 2009PECOS EnrolledAccepts Medicare Assignment

211 HUNTER PARK, LAUREL RIDGE PSYCHOLOGICAL ASSOCIATES, PRINCETON, WV 24740(304) 487-6121(304) 487-8741 Get Directions Write a Review

NPPES record last updated: September 16, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. David T. Ellis Psy.d. NPPES

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

DR. DAVID T. ELLIS PSY.D. (NPI 1093043754) is an individual clinical provider in Princeton, West Virginia, licensed in West Virginia (988) and active in the NPI registry since November 2009. He is enrolled in Medicare PECOS and is a graduate of Other (1988).

NPPES Registry Identity

NPI1093043754

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDR. DAVID T. ELLISCredential: PSY.D.

Location Address211 HUNTER PARK, LAUREL RIDGE PSYCHOLOGICAL ASSOCIATESPrinceton, WV 24740

Mailing Address211 Hunter Park, Laurel Ridge Psychological AssociatesPrinceton, WV 24740 · (304) 487-6121 · Fax (304) 487-8741

Phone(304) 487-6121

Fax(304) 487-8741

Sole ProprietorYes

Medical School CMSOtherGraduated 1988

Enumeration DateNovember 18, 2009

Last NPPES UpdateSeptember 16, 2013

✔ NPI 1093043754 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in WV · 988

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.

Also ListedPsychologist · ForensicTaxonomy 103TF0200X · License 988 (WV)

211 HUNTER PARK, Princeton, WV 24740

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Highmark Blue Cross Blue Shield West Virginia, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. David T. Ellis Psy.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2860521135

PECOS Enrollment IDI20100525000407

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 24740 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$164.59 typical visit price

range $53.20 – $164.59

Typical copayment $41.14 (range $13.30 – $41.14)

Most-billed visit code 99205

Established Patient

$94.81 typical visit price

range $16.47 – $133.29

Typical copayment $23.70 (range $4.11 – $33.32)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

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

BRIAN LUECK MA

Psychologist

211 HUNTER PARK
PRINCETON, WV 24740

Mercer County (304) 487-6121

DR. BARBARA HUNTER ROMFO PHD,LP

Psychologist (Clinical)

211 HUNTER PARK
PRINCETON, WV 24740

Mercer County (304) 487-6121

MR. WILLIAM ALLEN BREZINSKI M.A.

Psychologist (Counseling)

211 HUNTER PARK, LAUREL RIDGE PSYCHOLOGICAL ASSOCIATES
PRINCETON, WV 24740

Mercer County (304) 487-6121

LAUREL RIDGE PSYCHOLOGICAL ASSOCIATES

Psychologist

211 HUNTER PARK, LAUREL RIDGE PSYCHOLOGICAL ASSOCIATES
PRINCETON, WV 24740

Mercer County (304) 487-6121

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 David Ellis's NPI number?

The NPI number for David Ellis is 1093043754. It was assigned to this individual provider in the NPPES registry on November 18, 2009.

Where is David Ellis located?

David Ellis practices at 211 Hunter Park Laurel Ridge Psychological Associates, Princeton, WV 24740. The listed phone number is (304) 487-6121.

What is David Ellis's specialty?

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

Is David Ellis enrolled in Medicare?

Yes. David Ellis is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does David Ellis accept?

Health plans from CareSource, Highmark Blue Cross Blue Shield West Virginia and Providence Health Plan list David Ellis as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for David Ellis was last updated on September 16, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.