DR. THOMAS SHAWN ELLIS PSY.D.
NPI 1275720997
Psychologist - Clinical in San Francisco, CA

Q: What is Thomas Ellis's NPI number?

The NPI number for Thomas Ellis is 1275720997. It was assigned to this individual provider in the NPPES registry on September 26, 2007.

Q: What is Thomas 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 Thomas Ellis was last updated on September 24, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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 September 26, 2007PECOS Enrolled

1240 CALIFORNIA ST APT 3, SAN FRANCISCO, CA 94109(415) 359-4586 Get Directions Write a Review

NPPES record last updated: September 24, 2010. Verified against the NPPES registry weekly; last sync: September 27, 2026.

On this page

About Dr. Thomas Shawn Ellis Psy.d. NPPES

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

DR. THOMAS SHAWN ELLIS PSY.D. (NPI 1275720997) is an individual clinical provider in San Francisco, California, licensed in California (PSY23672) and active in the NPI registry since September 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1275720997

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDR. THOMAS SHAWN ELLISCredential: PSY.D.

Location Address1240 CALIFORNIA ST APT 3San Francisco, CA 94109-5060

Mailing AddressPo Box 640136San Francisco, CA 94164-0136 · (415) 359-4586

Phone(415) 359-4586

Sole ProprietorYes

Enumeration DateSeptember 26, 2007

Last NPPES UpdateSeptember 24, 2010

✔ NPI 1275720997 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 · PSY23672

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.

1240 CALIFORNIA ST APT 3, San Francisco, CA 94109

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Thomas Shawn Ellis Psy.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 94109 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

$202.35 typical visit price

range $69.00 – $202.35

Typical copayment $50.58 (range $17.25 – $50.58)

Most-billed visit code 99205

Established Patient

$119.48 typical visit price

range $23.44 – $166.46

Typical copayment $29.87 (range $5.86 – $41.61)

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.

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 Thomas Ellis's NPI number?

The NPI number for Thomas Ellis is 1275720997. It was assigned to this individual provider in the NPPES registry on September 26, 2007.

Where is Thomas Ellis located?

Thomas Ellis practices at 1240 California St Apt 3, San Francisco, CA 94109. The listed phone number is (415) 359-4586.

What is Thomas Ellis's specialty?

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

Is Thomas Ellis enrolled in Medicare?

Yes. Thomas Ellis is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Thomas Ellis was last updated on September 24, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.