DR. AUDREY ERLENE ELLENWOOD PH.D.
NPI 1265547681
Psychologist in Sylvania, OH

Active since August 19, 2006PECOS EnrolledAccepts Medicare Assignment
6400 MONROE ST, SUITE E, SYLVANIA, OH 43560(419) 885-4121 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Audrey Erlene Ellenwood Ph.d. NPPES

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

DR. AUDREY ERLENE ELLENWOOD PH.D. (NPI 1265547681) is an individual psychologist in Sylvania, Ohio, licensed in Ohio (3998) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1987).

NPPES Registry Identity

NPI1265547681
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. AUDREY ERLENE ELLENWOODCredential: PH.D.
Location Address6400 MONROE ST, SUITE ESylvania, OH 43560-1453
Mailing Address5303 Spring Creek LnSylvania, OH 43560-1317 · (419) 885-4121
Sole ProprietorYes
Medical School CMSOtherGraduated 1987
Enumeration DateAugust 19, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1265547681 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 OH · 3998
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.
6400 MONROE ST, Sylvania, OH 43560

Other Identifiers 3

Medicaid023158OH
Medicare ID-Type UnspecifiedCP04091OH
Medicare UPIN0454OH

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. Audrey Erlene Ellenwood Ph.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 ID2668655622
PECOS Enrollment IDI20110329000323
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 3

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

Nurse Practitioner
6400 MONROE ST
SYLVANIA, OH 43560
Speech-Language Pathologist
6400 MONROE ST
SYLVANIA, OH 43560
Psychologist (Clinical)
6400 MONROE ST, SUITE E
SYLVANIA, OH 43560

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 Audrey Ellenwood's NPI number?

The NPI number for Audrey Ellenwood is 1265547681. It was assigned to this individual provider in the NPPES registry on August 19, 2006.

Where is Audrey Ellenwood located?

Audrey Ellenwood practices at 6400 Monroe St Suite E, Sylvania, OH 43560. The listed phone number is (419) 885-4121.

What is Audrey Ellenwood's specialty?

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

Is Audrey Ellenwood enrolled in Medicare?

Yes. Audrey Ellenwood 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 Audrey Ellenwood accept?

Health plans from MedMutual, Oscar Health Insurance, Oscar Insurance Corporation of Ohio, Providence Health Plan and UnitedHealthcare list Audrey Ellenwood 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 Audrey Ellenwood was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.