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DR. ASHLI ELLIS PSY.D.
NPI 1437676020
Psychologist - Clinical Child & Adolescent in Davis, CA

Active since August 24, 2017PECOS Enrolled
207 E ST STE B, DAVIS, CA 95616(530) 206-9996 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 21, 2022, Aug 9, 2019, Aug 24, 2017 (3 updates tracked since 2017).

About Dr. Ashli Ellis Psy.d. NPPES

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

DR. ASHLI ELLIS PSY.D. (NPI 1437676020) is an individual clinical child & adolescent provider in Davis, California and active in the NPI registry since August 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Brookfield, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1437676020
Entity TypeIndividualFemale
Primary Taxonomy103TC2200X
Provider Legal NameDR. ASHLI ELLISCredential: PSY.D.
Location Address207 E ST STE BDavis, CA 95616-4523
Mailing Address207 E St Ste BDavis, CA 95616-4523 · (530) 206-9996
Phone(530) 206-9996
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateAugust 24, 2017
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
NPPES CertifiedApril 30, 2020
✔ NPI 1437676020 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Clinical Child & AdolescentBehavioral Health & Social Service Providers
Taxonomy Code103TC2200X
Definition
A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.
207 E ST STE B, Davis, CA 95616
Open in Google Maps ↗

Secondary Practice Location 1

Location 13505 N 124th StBrookfield, WI 53005-2489 · Phone (414) 431-4444 · Fax (414) 431-0858

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Ashli Ellis Psy.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3971049404
PECOS Enrollment IDI20240722000289
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Ashli Ellis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Vantage Point Center For Psychotherapy
17 mi
Mental Health
1011 22ND ST
Sacramento, CA 95816
  • Reassigned Medicare billing, California enrollment
  • 13 clinicians in this Medicare group
NPI 1326417056 (916) 284-1416

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

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

CARLOS LUCAS LMFT
Marriage & Family Therapist
207 E ST STE B
DAVIS, CA 95616
Yolo County (916) 576-7900
DR. KATARINA VAMVOURIS PSY.D
Psychologist
207 E ST STE B
DAVIS, CA 95616
Yolo County (530) 206-9996
MR. PHILLIP KENT BOONE
Marriage & Family Therapist
207 E ST STE B
DAVIS, CA 95616
Yolo County (530) 206-9996
GILLIAN FRANCIS LCSW
Social Worker (Clinical)
207 E ST STE B
DAVIS, CA 95616
Yolo County (530) 206-9996
DR. PILAR ANTONIA GONZALEZ-DOUPE PH.D., M.SC.
Psychologist (Counseling)
207 E ST STE B
DAVIS, CA 95616
Yolo County (530) 206-9996
ADITYA G REDDY M.D.
Psychiatry & Neurology (Psychiatry)
207 E ST STE B
DAVIS, CA 95616
Yolo County (530) 206-9996
SARA ANNE ROTELLA
Social Worker (Clinical)
207 E ST STE B
DAVIS, CA 95616
Yolo County (530) 206-9996
ACACIA PSYCHOLOGICAL CORPORATION
Psychologist (Clinical)
207 E ST STE B
DAVIS, CA 95616
Yolo County (805) 472-6099

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 Ashli Ellis's NPI number?

The NPI number for Ashli Ellis is 1437676020. It was assigned to this individual provider in the NPPES registry on August 24, 2017.

Where is Ashli Ellis located?

Ashli Ellis practices at 207 E St Ste B, Davis, CA 95616. The listed phone number is (530) 206-9996.

What is Ashli Ellis's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

Is Ashli Ellis enrolled in Medicare?

Yes. Ashli Ellis is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Ashli Ellis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ashli Ellis reassigns Medicare benefits to Vantage Point Center For Psychotherapy (Sacramento, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ashli Ellis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Ashli Ellis was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.