DR. KENNETH J ELLIS PH.D.
NPI 1417973850
Psychologist - Clinical in Marysville, WA
About Dr. Kenneth J Ellis Ph.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KENNETH J ELLIS PH.D. (NPI 1417973850) is an individual clinical provider in Marysville, Washington, licensed in Washington (PY00003392) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1978).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Kenneth J Ellis Ph.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 98270 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 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MARYSVILLE, WA 98270
MARYSVILLE, WA 98270
MARYSVILLE, WA 98270
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 Kenneth Ellis's NPI number?
The NPI number for Kenneth Ellis is 1417973850. It was assigned to this individual provider in the NPPES registry on July 15, 2006.
Where is Kenneth Ellis located?
Kenneth Ellis practices at 1106 Columbia Ave Suite 100, Marysville, WA 98270. The listed phone number is (360) 653-0374.
What is Kenneth Ellis's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is Kenneth Ellis enrolled in Medicare?
Yes. Kenneth Ellis is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
What insurance does Kenneth Ellis accept?
Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Kenneth Ellis as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Kenneth Ellis was last updated on February 12, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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. Kenneth J Ellis, PH.D. · NPI 1417973850
Clinical provider in Marysville, Washington. Individual provider, active in the CMS NPPES registry since July 15, 2006.
## Identity
- **NPI:** 1417973850 (Entity type: Individual)
- **Enumerated:** July 15, 2006
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **State license:** PY00003392 (Washington)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1106 COLUMBIA AVE, SUITE 100, Marysville, WA 98270-4335
- **Phone:** (360) 653-0374 · **Fax:** (360) 658-0219
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Medical school:** Other, class of 1978
## Record status
- **NPPES last updated:** February 12, 2016
- **Other identifiers:** Medicare ID-Type Unspecified 8856382 (WA); Medicare UPIN R76980 (WA)
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Source: [NPI Profile](https://npiprofile.com/npi/1417973850) · Data from the CMS NPPES public registry.