DR. JEFFREY DONALD ELLISON PSYD - NPI 1679864128 - Psychologist in Fort Meade, SD

Q: What is Jeffrey Ellison's NPI number?

The NPI number for Jeffrey Ellison is 1679864128. It was assigned to this individual provider in the NPPES registry on May 2, 2011.

Q: What is Jeffrey Ellison's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Jeffrey Ellison was last updated on March 24, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Dr. Jeffrey Donald Ellison Psyd NPPES

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

DR. JEFFREY DONALD ELLISON PSYD (NPI 1679864128) is an individual clinical provider in Fort Meade, South Dakota, licensed in South Dakota (492) and active in the NPI registry since May 2011. He maintains a secondary practice location in Sioux Falls.

NPPES Registry Identity

NPI1679864128

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDR. JEFFREY DONALD ELLISONCredential: PSYD

Location Address113 COMANCHE RDFort Meade, SD 57741-1002

Mailing Address2501 W. 22nd St, Po Box 5046Sioux Falls, SD 57117-5046 · (605) 336-3230 · Fax (605) 333-5387

Phone(605) 347-2511

Sole ProprietorNo

Enumeration DateMay 2, 2011

Last NPPES UpdateMarch 24, 2024

NPPES CertifiedMarch 24, 2024

✔ NPI 1679864128 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in SD · 492

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

113 COMANCHE RD, Fort Meade, SD 57741

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