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SUSAN G. ELLIS, PH.D., P.A.
NPI 1801125869
Psychologist - Clinical in Largo, FL

Active since December 21, 2009
3233 E BAY DR, SUITE 100, LARGO, FL 33771(727) 536-2200(727) 531-5088 Get Directions Write a Review

NPPES record last updated: December 21, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Susan G. Ellis, Ph.d., P.a. NPPES

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

SUSAN G. ELLIS, PH.D., P.A. (NPI 1801125869) is a healthcare organization registered as a clinical in Largo, Florida and active in the NPI registry since December 2009. The organization lists Susan G. Ellis, President, as its authorized official.

NPPES Registry Identity

NPI1801125869
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameSUSAN G. ELLIS, PH.D., P.A.
Location Address3233 E BAY DR, SUITE 100Largo, FL 33771-1900
Mailing Address3233 E Bay Dr, Suite 100Largo, FL 33771-1900 · (727) 536-2200
Phone(727) 536-2200
Fax(727) 531-5088
Organization SubpartNo
Authorized OfficialSusan G. EllisPresident · (727) 536-2200
Enumeration DateDecember 21, 2009
✔ NPI 1801125869 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 FL · PY2173
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.
3233 E BAY DR, Largo, FL 33771
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Other Identifiers 1

Medicare PINMEDICARE 74314ZFL

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

Other Providers at the Same Location NPPES

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

DR. SUSAN G ELLIS PH.D.
Psychologist (Clinical)
3233 E BAY DR, SUITE 100
LARGO, FL 33771
Pinellas County (727) 536-2200

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 Susan G. Ellis, Ph.D., P.A.'s NPI number?

The NPI number for Susan G. Ellis, Ph.D., P.A. is 1801125869. It was assigned to this organization in the NPPES registry on December 21, 2009.

Where is Susan G. Ellis, Ph.D., P.A. located?

Susan G. Ellis, Ph.D., P.A. is located at 3233 E Bay Dr Suite 100, Largo, FL 33771. The listed phone number is (727) 536-2200.

What is Susan G. Ellis, Ph.D., P.A.'s specialty?

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

When was this NPI record last updated?

The NPPES record for Susan G. Ellis, Ph.D., P.A. was last updated on December 21, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS; the most recent full sync was completed on July 26, 2026. Anyone can also request an on-demand re-check of this record against the live CMS registry, directly from this page.