DR. CARL RICHARD ELLIS ED.D.
NPI 1821173519
Psychologist - Clinical Child & Adolescent in Norfolk, VA

Q: What is Carl Ellis's NPI number?

The NPI number for Carl Ellis is 1821173519. It was assigned to this individual provider in the NPPES registry on October 25, 2006. The provider is also known as Dr. Rick Ellis Ed.D..

Q: What is Carl Ellis's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

Q: When was this NPI record last updated?

The NPPES record for Carl Ellis was last updated on June 12, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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 October 25, 2006

4101 GRANBY ST STE 301, NORFOLK, VA 23504(757) 640-1882(757) 640-0253 Get Directions Write a Review

NPPES record last updated: June 12, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Dr. Carl Richard Ellis Ed.d. NPPES

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

DR. CARL RICHARD ELLIS ED.D. (NPI 1821173519) is an individual clinical child & adolescent provider in Norfolk, Virginia, licensed in Virginia (0810001913) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1821173519

Entity TypeIndividualMale

Primary Taxonomy103TC2200X

Provider Legal NameDR. CARL RICHARD ELLISCredential: ED.D.

Location Address4101 GRANBY ST STE 301Norfolk, VA 23504-1117

Mailing Address4101 Granby St, Suite 301Norfolk, VA 23504-1117 · (757) 640-1882 · Fax (757) 640-0253

Phone(757) 640-1882

Fax(757) 640-0253

Sole ProprietorYes

Enumeration DateOctober 25, 2006

Last NPPES UpdateJune 12, 2008

✔ NPI 1821173519 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Clinical Child & AdolescentBehavioral Health & Social Service Providers

Taxonomy Code103TC2200X

License✔ Licensed in VA · 0810001913

Definition

A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.

4101 GRANBY ST STE 301, Norfolk, VA 23504

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Other Names 1

Other Name (5)Dr. Rick Ellis Ed.d.

Other Identifiers 3

Medicaid007700580VA

Other058231VA · Anthem Bc/bs

Medicare PIN680001404VA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Carl Richard Ellis Ed.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Carl Ellis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Spectrum Psychological And Neurotherapy PC

9.0 mi

Psychologist

4542 BONNEY RD STE B
Virginia Beach, VA 23462

Reassigned Medicare billing, Virginia enrollment
2 clinicians in this Medicare group

NPI 1407221716 (757) 640-1882

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Carl Ellis's NPI number?

The NPI number for Carl Ellis is 1821173519. It was assigned to this individual provider in the NPPES registry on October 25, 2006. The provider is also known as Dr. Rick Ellis Ed.D..

Where is Carl Ellis located?

Carl Ellis practices at 4101 Granby St Ste 301, Norfolk, VA 23504. The listed phone number is (757) 640-1882.

What is Carl Ellis's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

Is Carl Ellis enrolled in Medicare?

Yes. Carl Ellis is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Carl Ellis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carl Ellis reassigns Medicare benefits to Spectrum Psychological And Neurotherapy PC (Virginia Beach, VA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Carl Ellis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Carl Ellis accept?

Health plans from Oscar Health list Carl 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 Carl Ellis was last updated on June 12, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.