DR. STACY ELLIS, P.C. - NPI 1912537200 - Psychologist in Aurora, IL

Q: What is Dr. Stacy Ellis, P.C.'s NPI number?

The NPI number for Dr. Stacy Ellis, P.C. is 1912537200. It was assigned to this organization in the NPPES registry on January 25, 2020.

Q: What is Dr. Stacy Ellis, P.C.'s specialty?

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

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About Dr. Stacy Ellis, P.c. NPPES

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

DR. STACY ELLIS, P.C. (NPI 1912537200) is a healthcare organization registered as a clinical in Aurora, Illinois and active in the NPI registry since January 2020. The organization lists Stacy Ellis, Licensed Clinical Psychologist, as its authorized official.

NPPES Registry Identity

NPI1912537200

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NameDR. STACY ELLIS, P.C.

Location Address1900 OGDEN AVE STE 106Aurora, IL 60504-4284

Mailing AddressPo Box 398Winfield, IL 60190-0398 · (323) 228-7746

Phone(630) 405-7265

Organization SubpartNo

Authorized OfficialStacy EllisLicensed Clinical Psychologist · (323) 228-7746

Enumeration DateJanuary 25, 2020

✔ NPI 1912537200 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

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.

1900 OGDEN AVE STE 106, Aurora, IL 60504

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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 8

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

MARLOES VERHOEVEN PSY.D.

Psychologist (Clinical)