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EDDIE ELLIS
NPI 1841400132
Psychologist - Adult Development & Aging in Fort Worth, TX

Active since May 23, 2007
420 TIERNEY RD, FORT WORTH, TX 76112(817) 534-5480(817) 534-4748 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Eddie Ellis NPPES

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

EDDIE ELLIS (NPI 1841400132) is an individual adult development & aging provider in Fort Worth, Texas and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1841400132
Entity TypeIndividualMale
Primary Taxonomy103TA0700X
Provider Legal NameEDDIE ELLIS
Location Address420 TIERNEY RDFort Worth, TX 76112-6324
Mailing Address420 Tierney RdFort Worth, TX 76112-6324 · (817) 534-5480 · Fax (817) 534-4748
Phone(817) 534-5480
Fax(817) 534-4748
Sole ProprietorYes
Enumeration DateMay 23, 2007
Last NPPES UpdateSeptember 11, 2025
✔ NPI 1841400132 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPsychologist · Adult Development & AgingBehavioral Health & Social Service Providers
Taxonomy Code103TA0700X
Definition
A psychologist who specializes in geropsychology, which applies the knowledge and methods of psychology to understanding and helping older persons and their families to maintain well-being, overcome problems and achieve maximum potential during later life. Professional geropsychology appreciates the wide diversity among older adults, the complex ethical issues that can arise in geriatric practice and the importance of interdisciplinary models of care.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedPsychologist · Health ServiceTaxonomy 103TH0100X
Also ListedPsychologist · Intellectual and Developmental DisabilitiesTaxonomy 103TM1800X

Other Providers at the Same Location NPPES 6

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

BLESSED BEGININGS
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
420 TIERNEY RD
FORT WORTH, TX 76112
Tarrant County (817) 534-5480
DORIS GAIL BENJAMIN
Psychologist (Adult Development & Aging)
420 TIERNEY RD
FORT WORTH, TX 76112
Tarrant County (817) 534-5480
BEVERLY DIANE ELLIS
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
420 TIERNEY RD
FORT WORTH, TX 76112
Tarrant County (817) 534-5480
BEAUTIFUL BEGINNINGS
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
420 TIERNEY RD
FORT WORTH, TX 76112
Tarrant County (817) 534-5480
AWESOME ALWAYS LLC
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
420 TIERNEY RD
FORT WORTH, TX 76112
Tarrant County (214) 226-4660
EDDIE ELLIS JUNIOR HCS
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
420 TIERNEY RD
FORT WORTH, TX 76112
Tarrant County (817) 534-5480

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 Eddie Ellis's NPI number?

The NPI number for Eddie Ellis is 1841400132. It was assigned to this individual provider in the NPPES registry on May 23, 2007.

Where is Eddie Ellis located?

Eddie Ellis practices at 420 Tierney Rd, Fort Worth, TX 76112. The listed phone number is (817) 534-5480.

What is Eddie Ellis's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Adult Development & Aging, with taxonomy code 103TA0700X.

When was this NPI record last updated?

The NPPES record for Eddie Ellis was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.