DR. GREGORY TIMOTHY ELLERMANN PHD
NPI 1801991195
Psychologist in Leavenworth, KS

Active since September 13, 2006
3515 S 4TH ST, PROFESSIONAL ASSOCIATION, LEAVENWORTH, KS 66048(913) 651-8415(913) 772-8580 Get Directions Write a Review

NPPES record last updated: October 3, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Gregory Timothy Ellermann Phd NPPES

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

DR. GREGORY TIMOTHY ELLERMANN PHD (NPI 1801991195) is an individual psychologist in Leavenworth, Kansas, licensed in Kansas (860) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1801991195
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDR. GREGORY TIMOTHY ELLERMANNCredential: PHD
Location Address3515 S 4TH ST, PROFESSIONAL ASSOCIATIONLeavenworth, KS 66048
Mailing Address21 East 55th StKansas City, MO 64113 · (816) 333-3262
Fax(913) 772-8580
Sole ProprietorNo
Enumeration DateSeptember 13, 2006
Last NPPES UpdateOctober 3, 2008
NPI 1801991195 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 KS · 860 Licensed in MO · 01582
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.
3515 S 4TH ST, Leavenworth, KS 66048

Other Identifiers 4

Other32816022KS · Kansas City Bcbs
Other7030764Aetna
Other043080KS · Bcbs Of Kansas
Other004517Bcbs Of Kansas Group

Other Providers at the Same Location NPPES 5

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

Counselor (Professional)
3515 S 4TH ST
LEAVENWORTH, KS 66048
Psychiatry & Neurology (Psychiatry)
3515 S 4TH ST, SUITE 100
LEAVENWORTH, KS 66048
Psychologist
3515 S 4TH ST, PROFESSIONAL ASSOCIATION
LEAVENWORTH, KS 66048
Psychologist
3515 S 4TH ST, PROFESSIONAL ASSOCIATION
LEAVENWORTH, KS 66048
Nurse Practitioner (Psychiatric/Mental Health)
3515 S 4TH ST
LEAVENWORTH, KS 66048

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 Gregory Ellermann's NPI number?

The NPI number for Gregory Ellermann is 1801991195. It was assigned to this individual provider in the NPPES registry on September 13, 2006.

Where is Gregory Ellermann located?

Gregory Ellermann practices at 3515 S 4th St Professional Association, Leavenworth, KS 66048. The listed phone number is (913) 651-8415.

What is Gregory Ellermann's specialty?

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

When was this NPI record last updated?

The NPPES record for Gregory Ellermann was last updated on October 3, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.