GEERTINA H ELLIS HSP-PA, LPA
NPI 1629008313
Psychologist in Fayetteville, NC

Active since July 05, 2006
5242 SUNDOWN DR, FAYETTEVILLE, NC 28303(910) 670-9689(910) 487-0703 Get Directions Write a Review

NPPES record last updated: April 15, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 15, 2020, Jul 16, 2019 (2 updates tracked since 2019).

About Geertina H Ellis Hsp-pa, Lpa NPPES

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

GEERTINA H ELLIS HSP-PA, LPA (NPI 1629008313) is an individual psychologist in Fayetteville, North Carolina, licensed in North Carolina (2167) and active in the NPI registry since July 2006. She maintains a secondary practice location in Fayetteville.

NPPES Registry Identity

NPI1629008313
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameGEERTINA H ELLISCredential: HSP-PA, LPA
Location Address5242 SUNDOWN DRFayetteville, NC 28303-3287
Mailing Address5242 Sundown DrFayetteville, NC 28303-3287 · (910) 578-3451 · Fax (910) 487-0703
Fax(910) 487-0703
Sole ProprietorYes
Enumeration DateJuly 5, 2006
Last NPPES UpdateApril 15, 20202 updates tracked since enumeration
NPPES CertifiedApril 15, 2020
NPI 1629008313 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Licenses Licensed in NC · 2167 Licensed in NC · NC2167
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.
5242 SUNDOWN DR, Fayetteville, NC 28303

Other Names 1

Professional Name (2)Dr. Geertina Ellis Ed.d.

Secondary Practice Location 1

Location 1596 Executive Pl Ste 201Fayetteville, NC 28305-5189 · Phone (910) 578-3451 · Fax (910) 487-0703

Other Identifiers 1

Medicaid84-1999514NC

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

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 Geertina Ellis's NPI number?

The NPI number for Geertina Ellis is 1629008313. It was assigned to this individual provider in the NPPES registry on July 5, 2006. The provider is also known as Dr. Geertina Ellis Ed.D..

Where is Geertina Ellis located?

Geertina Ellis practices at 5242 Sundown Dr, Fayetteville, NC 28303. The listed phone number is (910) 670-9689.

What is Geertina Ellis's specialty?

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

What insurance does Geertina Ellis accept?

Health plans from Blue Cross and Blue Shield of NC list Geertina 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 Geertina Ellis was last updated on April 15, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.