DR. STEPHANIE STEVENS LEEDY-ELLIS PH.D.
NPI 1447346101
Psychologist in Norcross, GA

Active since October 04, 2006Opted out of Medicare · through Jul 1, 2028
3949 HOLCOMB BRIDGE ROAD, SUITE 200, NORCROSS, GA 30092(404) 231-3364(770) 813-7446 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Dr. Stephanie Stevens Leedy-ellis Ph.d. NPPES

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

DR. STEPHANIE STEVENS LEEDY-ELLIS PH.D. (NPI 1447346101) is an individual psychologist in Norcross, Georgia, licensed in Georgia (1688) and active in the NPI registry since October 2006. She has opted out of Medicare through July 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1447346101
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. STEPHANIE STEVENS LEEDY-ELLISCredential: PH.D.
Location Address3949 HOLCOMB BRIDGE ROAD, SUITE 200Norcross, GA 30092-2208
Mailing Address3949 Holcomb Bridge Road, Suite 200Norcross, GA 30092-2208 · (404) 231-3364 · Fax (770) 813-7446
Fax(770) 813-7446
Sole ProprietorYes
Enumeration DateOctober 4, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1447346101 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License✔ Licensed in GA · 1688
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.
3949 HOLCOMB BRIDGE ROAD, Norcross, GA 30092

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

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Opted out of Medicare

Dr. Stephanie Stevens Leedy-ellis Ph.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 1, 2014 through July 1, 2028.

Opt-Out Effective DateJuly 1, 2014
Opt-Out In Effect ThroughJuly 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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 Stephanie Leedy-ellis's NPI number?

The NPI number for Stephanie Leedy-ellis is 1447346101. It was assigned to this individual provider in the NPPES registry on October 4, 2006.

Where is Stephanie Leedy-ellis located?

Stephanie Leedy-ellis practices at 3949 Holcomb Bridge Road Suite 200, Norcross, GA 30092. The listed phone number is (404) 231-3364.

What is Stephanie Leedy-ellis's specialty?

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

Is Stephanie Leedy-ellis enrolled in Medicare?

No. Stephanie Leedy-ellis has opted out of Medicare through July 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Stephanie Leedy-ellis was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.