DR. ASHLI ELLIS PSY.D. - NPI 1437676020 - Psychologist in Davis, CA

Q: 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.

Q: What is Ashli Ellis's specialty?

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

Q: When was this NPI record last updated?

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

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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

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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, and ordering and referring status from the CMS PECOS system.

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.