CYNTHIA G ELLIS PHD
NPI 1831215144
Psychologist in Providence, RI

Active since March 21, 2007Opted out of Medicare · through Feb 1, 2027
105 MEDWAY STREET, PROVIDENCE, RI 02906(401) 751-3737 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Cynthia G Ellis Phd NPPES

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

CYNTHIA G ELLIS PHD (NPI 1831215144) is an individual psychologist in Providence, Rhode Island, licensed in Rhode Island (PS00677) and active in the NPI registry since March 2007. She has opted out of Medicare through February 1, 2027.

NPPES Registry Identity

NPI1831215144
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameCYNTHIA G ELLISCredential: PHD
Location Address105 MEDWAY STREETProvidence, RI 02906
Mailing AddressPo Box 2418Providence, RI 02906
Sole ProprietorYes
Enumeration DateMarch 21, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1831215144 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 RI · PS00677 Licensed in MA · 7997
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.
105 MEDWAY STREET, Providence, RI 02906

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Cynthia G Ellis Phd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 1, 2025 through February 1, 2027.

Opt-Out Effective DateFebruary 1, 2025
Opt-Out In Effect ThroughFebruary 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

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

Psychologist
105 MEDWAY STREET
PROVIDENCE, RI 02906

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 Cynthia Ellis's NPI number?

The NPI number for Cynthia Ellis is 1831215144. It was assigned to this individual provider in the NPPES registry on March 21, 2007.

Where is Cynthia Ellis located?

Cynthia Ellis practices at 105 Medway Street, Providence, RI 02906. The listed phone number is (401) 751-3737.

What is Cynthia Ellis's specialty?

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

Is Cynthia Ellis enrolled in Medicare?

No. Cynthia Ellis has opted out of Medicare through February 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Cynthia Ellis was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.