DR. GLENN THOMAS ELLIS PHD
NPI 1184712820
Psychologist in Columbus, MS

Active since October 10, 2006PECOS EnrolledAccepts Medicare Assignment
815 2ND AVE NO, COLUMBUS, MS 39701(662) 327-7388(662) 329-1177 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Glenn Thomas Ellis Phd NPPES

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

DR. GLENN THOMAS ELLIS PHD (NPI 1184712820) is an individual psychologist in Columbus, Mississippi, licensed in Mississippi (105) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1970).

NPPES Registry Identity

NPI1184712820
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDR. GLENN THOMAS ELLISCredential: PHD
Location Address815 2ND AVE NOColumbus, MS 39701
Mailing Address815 2nd Ave NorthColumbus, MS 39701 · (662) 327-7388 · Fax (662) 329-1177
Fax(662) 329-1177
Sole ProprietorNo
Medical School CMSOtherGraduated 1970
Enumeration DateOctober 10, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1184712820 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in MS · 105
Definition

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

815 2ND AVE NO, Columbus, MS 39701

Other Identifiers 1

Medicaid00115223MS

Accepted 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. Glenn Thomas Ellis Phd 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 ID9234465881
PECOS Enrollment IDI20190927000736
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.

Other Providers at the Same Location NPPES

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

Counselor (Professional)
815 2ND AVE NO
COLUMBUS, MS 39701

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 Glenn Ellis's NPI number?

The NPI number for Glenn Ellis is 1184712820. It was assigned to this individual provider in the NPPES registry on October 10, 2006.

Where is Glenn Ellis located?

Glenn Ellis practices at 815 2nd Ave No, Columbus, MS 39701. The listed phone number is (662) 327-7388.

What is Glenn Ellis's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Glenn Ellis enrolled in Medicare?

Yes. Glenn 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 Glenn Ellis accept?

Health plans from Oscar Health Plan, Inc. and UnitedHealthcare list Glenn 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 Glenn Ellis was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.