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JON B ELLIS PHD
NPI 1346385978
Psychologist - Clinical in Johnson City, TN

Active since February 21, 2007
206 PRINCETON RD, SUITE 21, JOHNSON CITY, TN 37601(423) 282-8182(423) 283-0031 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jon B Ellis Phd NPPES

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

JON B ELLIS PHD (NPI 1346385978) is an individual clinical provider in Johnson City, Tennessee, licensed in Tennessee (P1437) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1346385978
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameJON B ELLISCredential: PHD
Location Address206 PRINCETON RD, SUITE 21Johnson City, TN 37601-2058
Mailing Address206 Princeton Rd, Suite 21Johnson City, TN 37601-2058 · (423) 282-8182 · Fax (423) 283-0031
Phone(423) 282-8182
Fax(423) 283-0031
Sole ProprietorYes
Enumeration DateFebruary 21, 2007
Last NPPES UpdateJuly 9, 2007
✔ NPI 1346385978 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 TN · P1437
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.
206 PRINCETON RD, Johnson City, TN 37601
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Other Identifiers 3

Other4019151TN · Bcbs Number
Medicaid3689850TN
Medicare ID-Type Unspecified3689850TN · Medicare Individual Numbe

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.

DAVID KENDALL PERRY DC
Chiropractor
206 PRINCETON RD, STE 14
JOHNSON CITY, TN 37601
Washington County (423) 283-4905
PRINCETON HEALTHCARE ASSOCIATES, PC
Internal Medicine
206 PRINCETON RD, SUITE 14
JOHNSON CITY, TN 37601
Washington County (423) 283-4905
MS. SUMALEE GRIFFITH
Acupuncturist
206 PRINCETON RD, SUITE 31B
JOHNSON CITY, TN 37601
Washington County (423) 544-1806

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 Jon Ellis's NPI number?

The NPI number for Jon Ellis is 1346385978. It was assigned to this individual provider in the NPPES registry on February 21, 2007.

Where is Jon Ellis located?

Jon Ellis practices at 206 Princeton Rd Suite 21, Johnson City, TN 37601. The listed phone number is (423) 282-8182.

What is Jon 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 Jon Ellis was last updated on July 9, 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.