DR. DIANE MARLENE ELLIS PSY.D., LP
NPI 1770527426
Psychologist - Clinical in Springfield, MO

Q: What is Diane Ellis's NPI number?

The NPI number for Diane Ellis is 1770527426. It was assigned to this individual provider in the NPPES registry on June 15, 2006. The provider is also known as Ms. Diane Marlene Bailey.

Q: What is Diane Ellis'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 Diane Ellis was last updated on September 28, 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.

Active since June 15, 2006

323 E GRAND ST, SPRINGFIELD, MO 65807(417) 761-5600 Get Directions Write a Review

NPPES record last updated: September 28, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 28, 2021, Mar 22, 2019 (2 updates tracked since 2019).

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About Dr. Diane Marlene Ellis Psy.d., Lp NPPES

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

DR. DIANE MARLENE ELLIS PSY.D., LP (NPI 1770527426) is an individual clinical provider in Springfield, Missouri, licensed in Missouri (2007033885) and active in the NPI registry since June 2006. She maintains a secondary practice location in Springfield.

NPPES Registry Identity

NPI1770527426

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. DIANE MARLENE ELLISCredential: PSY.D., LP

Location Address323 E GRAND STSpringfield, MO 65807-1447

Mailing Address1300 E Bradford PkwySpringfield, MO 65804-4264 · (417) 761-5000 · Fax (417) 761-5065

Phone(417) 761-5600

Sole ProprietorNo

Enumeration DateJune 15, 2006

Last NPPES UpdateSeptember 28, 20212 updates tracked since enumeration

NPPES CertifiedSeptember 28, 2021

✔ NPI 1770527426 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 MO · 2007033885

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.

323 E GRAND ST, Springfield, MO 65807

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Other Names 1

Former Name (1)Ms. Diane Marlene Bailey

Secondary Practice Location 1

Location 11300 E Bradford PkwySpringfield, MO 65804-4264 · Phone (417) 761-5600

Other Identifiers 1

Medicaid497428003MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cox HealthPlans.Insurance ›

Other Providers at the Same Location NPPES 13

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

SHAY DAVIS FNP

Nurse Practitioner (Family)