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ANDREW P ELLIS PHD
NPI 1730283813
Clinical Neuropsychologist in Portland, OR

Active since September 11, 2006PECOS EnrolledAccepts Medicare Assignment
1815 SW MARLOW, SUITE 110, PORTLAND, OR 97225(503) 292-0765(503) 292-5208 Get Directions Write a Review

NPPES record last updated: December 15, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Andrew P Ellis Phd NPPES

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

ANDREW P ELLIS PHD (NPI 1730283813) is an individual clinical neuropsychologist in Portland, Oregon, licensed in Oregon (1396) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1997).

NPPES Registry Identity

NPI1730283813
Entity TypeIndividualMale
Primary Taxonomy103G00000X
Provider Legal NameANDREW P ELLISCredential: PHD
Location Address1815 SW MARLOW, SUITE 110Portland, OR 97225-5185
Mailing Address7204 Sw Durham Rd, Ste 100Portland, OR 97224-7574 · (503) 941-9869 · Fax (503) 352-5555
Phone(503) 292-0765
Fax(503) 292-5208
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateSeptember 11, 2006
Last NPPES UpdateDecember 15, 2021
NPPES CertifiedDecember 15, 2021
✔ NPI 1730283813 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers
Taxonomy Code103G00000X
License✔ Licensed in OR · 1396
Definition
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
1815 SW MARLOW, Portland, OR 97225
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Andrew P Ellis Phd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6103996152
PECOS Enrollment IDI20080602000897
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.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LINDA S PORTER RN
Registered Nurse (Pain Management)
1815 SW MARLOW, SUITE 110
PORTLAND, OR 97225
Washington County (503) 292-0765
DR. CHRISTOPHER HUFFINE PSYD
Psychologist (Psychoanalysis)
1815 SW MARLOW, STE 208
PORTLAND, OR 97225
Washington County (503) 297-7979
ERNEST RAY TATYREK PHD
Psychologist (Clinical)
1815 SW MARLOW, STE 110
PORTLAND, OR 97225
Washington County (503) 292-0765
LISA W STEMBER SLP
Speech-Language Pathologist
1815 SW MARLOW, STE 110
PORTLAND, OR 97225
Washington County (503) 292-0765
DEBBIE KAY DODGE OT
Occupational Therapist
1815 SW MARLOW, SUITE 110
PORTLAND, OR 97225
Washington County (503) 292-0765
CHRISTOPHER HUFFINE PSYD
Counselor (Mental Health)
1815 SW MARLOW, SUITE 208
PORTLAND, OR 97225
Washington County (503) 297-7979
DARREN JOHN PACKARD SLP
Speech-Language Pathologist
1815 SW MARLOW, STE 110
PORTLAND, OR 97225
Washington County (503) 292-0765
MARY ANN GREEN COTA VRC
Occupational Therapy Assistant
1815 SW MARLOW, SUITE 110
PORTLAND, OR 97225
Washington County (503) 292-0765

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 Andrew Ellis's NPI number?

The NPI number for Andrew Ellis is 1730283813. It was assigned to this individual provider in the NPPES registry on September 11, 2006.

Where is Andrew Ellis located?

Andrew Ellis practices at 1815 SW Marlow Suite 110, Portland, OR 97225. The listed phone number is (503) 292-0765.

What is Andrew Ellis's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Is Andrew Ellis enrolled in Medicare?

Yes. Andrew Ellis is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Andrew Ellis accept?

Health plans from PacificSource Health Plans and Providence Health Plan list Andrew 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 Andrew Ellis was last updated on December 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.