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

Active since October 04, 2006PECOS Enrolled
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: August 16, 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 is enrolled in Medicare PECOS.

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

Enrolled in Medicare (PECOS)

Dr. Stephanie Stevens Leedy-ellis Ph.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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?

Yes. Stephanie Leedy-ellis is registered in the Medicare PECOS enrollment system.

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.