DR. AMY E. ELLIS PH.D.
NPI 1326405739
Psychologist - Clinical in Wilton Manors, FL
About Dr. Amy E. Ellis Ph.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. AMY E. ELLIS PH.D. (NPI 1326405739) is an individual clinical provider in Wilton Manors, Florida, licensed in Florida (PY9396) and active in the NPI registry since January 2016. She has opted out of Medicare through June 17, 2028 and remains eligible to order and refer and maintains a secondary practice location in Plantation.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Dr. Amy E. Ellis Ph.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from June 17, 2020 through June 17, 2028.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 33305 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WILTON MANORS, FL 33305
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 Amy Ellis's NPI number?
The NPI number for Amy Ellis is 1326405739. It was assigned to this individual provider in the NPPES registry on January 15, 2016.
Where is Amy Ellis located?
Amy Ellis practices at 1650 NE 26th St Ste 201, Wilton Manors, FL 33305. The listed phone number is (516) 459-3137.
What is Amy Ellis's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is Amy Ellis enrolled in Medicare?
No. Amy Ellis has opted out of Medicare through June 17, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.
When was this NPI record last updated?
The NPPES record for Amy Ellis was last updated on February 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Dr. Amy E. Ellis, PH.D. · NPI 1326405739
Clinical provider in Wilton Manors, Florida. Individual provider, active in the CMS NPPES registry since January 15, 2016.
## Identity
- **NPI:** 1326405739 (Entity type: Individual)
- **Enumerated:** January 15, 2016
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **State license:** PY9396 (Florida)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1650 NE 26TH ST STE 201, Wilton Manors, FL 33305-1431
- **Phone:** (516) 459-3137
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through June 17, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** February 1, 2021
- **Other identifiers:** Other PY9396 (FL)
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Source: [NPI Profile](https://npiprofile.com/npi/1326405739) · Data from the CMS NPPES public registry.