DR. TIMOTHY P ELLINGSTAD PHD
NPI 1396851101
Psychologist in Burlington, WI

Active since August 22, 2006
190 GARDNER AVE, #3, BURLINGTON, WI 53105(262) 763-7766(262) 763-9326 Get Directions Write a Review

NPPES record last updated: August 23, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Timothy P Ellingstad Phd NPPES

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

DR. TIMOTHY P ELLINGSTAD PHD (NPI 1396851101) is an individual psychologist in Burlington, Wisconsin, licensed in Wisconsin (2452-057) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1396851101
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDR. TIMOTHY P ELLINGSTADCredential: PHD
Location Address190 GARDNER AVE, #3Burlington, WI 53105-2160
Mailing Address3301 W Forest Home AveMilwaukee, WI 53215-2843 · (414) 647-6326 · Fax (414) 671-8860
Fax(262) 763-9326
Sole ProprietorNo
Enumeration DateAugust 22, 2006
Last NPPES UpdateAugust 23, 2019
NPI 1396851101 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in WI · 2452-057
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.
Also ListedPsychologist · HealthTaxonomy 103TH0004X
190 GARDNER AVE, Burlington, WI 53105

Other Identifiers 1

Medicaid39142400WI

Other Providers at the Same Location NPPES 8

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

Dentist (General Practice)
190 GARDNER AVE, SUITE 4
BURLINGTON, WI 53105
Dentist (General Practice)
190 GARDNER AVE
BURLINGTON, WI 53105
Dentist (General Practice)
190 GARDNER AVE, SUITE 7
BURLINGTON, WI 53105
Psychiatry & Neurology (Forensic Psychiatry)
190 GARDNER AVE, #3
BURLINGTON, WI 53105
Dentist (General Practice)
190 GARDNER AVE, SUITE 4
BURLINGTON, WI 53105
Social Worker (Clinical)
190 GARDNER AVE, SUITE 3
BURLINGTON, WI 53105
Social Worker (Clinical)
190 GARDNER AVE, #3
BURLINGTON, WI 53105
Dentist (General Practice)
190 GARDNER AVE, #4
BURLINGTON, WI 53105

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 Timothy Ellingstad's NPI number?

The NPI number for Timothy Ellingstad is 1396851101. It was assigned to this individual provider in the NPPES registry on August 22, 2006.

Where is Timothy Ellingstad located?

Timothy Ellingstad practices at 190 Gardner Ave #3, Burlington, WI 53105. The listed phone number is (262) 763-7766.

What is Timothy Ellingstad's specialty?

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

When was this NPI record last updated?

The NPPES record for Timothy Ellingstad was last updated on August 23, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.