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DR. JOHN LEONARD ELLIS PH.D.
NPI 1407495617
Psychologist - Health Service in Lenoir, NC

Active since January 06, 2020
4439 WALNUT RIDGE RD, LENOIR, NC 28645(980) 288-2145 Get Directions Write a Review

NPPES record last updated: January 6, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. John Leonard Ellis Ph.d. NPPES

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

DR. JOHN LEONARD ELLIS PH.D. (NPI 1407495617) is an individual health service provider in Lenoir, North Carolina, licensed in North Carolina (1458) and active in the NPI registry since January 2020.

NPPES Registry Identity

NPI1407495617
Entity TypeIndividualMale
Primary Taxonomy103TH0100X
Provider Legal NameDR. JOHN LEONARD ELLISCredential: PH.D.
Location Address4439 WALNUT RIDGE RDLenoir, NC 28645-3989
Mailing Address4439 Walnut Ridge RdLenoir, NC 28645-3989 · (980) 288-2145
Phone(980) 288-2145
Sole ProprietorYes
Enumeration DateJanuary 6, 2020
✔ NPI 1407495617 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Health ServiceBehavioral Health & Social Service Providers
Taxonomy Code103TH0100X
License✔ Licensed in NC · 1458
Definition
A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).
4439 WALNUT RIDGE RD, Lenoir, NC 28645
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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 John Ellis's NPI number?

The NPI number for John Ellis is 1407495617. It was assigned to this individual provider in the NPPES registry on January 6, 2020.

Where is John Ellis located?

John Ellis practices at 4439 Walnut Ridge Rd, Lenoir, NC 28645. The listed phone number is (980) 288-2145.

What is John Ellis's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Health Service, with taxonomy code 103TH0100X.

When was this NPI record last updated?

The NPPES record for John Ellis was last updated on January 6, 2020. 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.