Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

DR. KIRK RICHARD ELLIS PSYD
NPI 1346154887
Psychologist - Clinical in Marietta, GA

Q: What is Kirk Ellis's NPI number?

The NPI number for Kirk Ellis is 1346154887. It was assigned to this individual provider in the NPPES registry on October 1, 2026.

Q: What is Kirk 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 Kirk Ellis was last updated on October 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 days 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 October 01, 2026

4038 JORDAN LAKE DR, MARIETTA, GA 30062(404) 323-4665 Get Directions Write a Review

NPPES record added: October 1, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Dr. Kirk Richard Ellis Psyd NPPES

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

DR. KIRK RICHARD ELLIS PSYD (NPI 1346154887) is an individual clinical provider in Marietta, Georgia, licensed in Alabama (2337) and active in the NPI registry since October 2026.

NPPES Registry Identity

NPI1346154887

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDR. KIRK RICHARD ELLISCredential: PSYD

Location Address4038 JORDAN LAKE DRMarietta, GA 30062-5786

Mailing Address4038 Jordan Lake DrMarietta, GA 30062-5786

Phone(404) 323-4665

Sole ProprietorNo

Enumeration DateOctober 1, 2026

NPPES CertifiedOctober 1, 2026

✔ NPI 1346154887 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 AL · 2337

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.

4038 JORDAN LAKE DR, Marietta, GA 30062

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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 Kirk Ellis's NPI number?

The NPI number for Kirk Ellis is 1346154887. It was assigned to this individual provider in the NPPES registry on October 1, 2026.

Where is Kirk Ellis located?

Kirk Ellis practices at 4038 Jordan Lake Dr, Marietta, GA 30062. The listed phone number is (404) 323-4665.

What is Kirk Ellis's specialty?

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

When was this NPI record last updated?

The NPPES record for Kirk Ellis was last updated on October 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 days 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.