DR. LAUREN ROSE ELLIS PSY.D.
NPI 1962173872
Psychologist in Tabernacle, NJ

Active since September 22, 2021PECOS Enrolled
25 SLEEPY HOLLOW DR, TABERNACLE, NJ 08088(718) 873-4908 Get Directions Write a Review

NPPES record last updated: February 24, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Feb 24, 2025, Mar 8, 2022, Sep 22, 2021 (3 updates tracked since 2021).

About Dr. Lauren Rose Ellis Psy.d. NPPES

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

DR. LAUREN ROSE ELLIS PSY.D. (NPI 1962173872) is an individual psychologist in Tabernacle, New Jersey, licensed in New Jersey (35SI00652600) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1962173872
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. LAUREN ROSE ELLISCredential: PSY.D.
Location Address25 SLEEPY HOLLOW DRTabernacle, NJ 08088-8506
Mailing Address740 Marne HwyMoorestown, NJ 08057-3126 · (856) 553-0769
Sole ProprietorYes
Medical School CMSOtherGraduated 2007
Enumeration DateSeptember 22, 2021
Last NPPES UpdateFebruary 24, 20253 updates tracked since enumeration
NPPES CertifiedFebruary 24, 2025
NPI 1962173872 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in NJ · 35SI00652600
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.

25 SLEEPY HOLLOW DR, Tabernacle, NJ 08088

Other Names 1

Former Name (1)Dr. Lauren Rose Cuomo Psy.d.

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Lauren Rose Ellis Psy.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2860913316
PECOS Enrollment IDI20250312004100
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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 Lauren Ellis's NPI number?

The NPI number for Lauren Ellis is 1962173872. It was assigned to this individual provider in the NPPES registry on September 22, 2021. The provider is also known as Dr. Lauren Rose Cuomo Psy.D..

Where is Lauren Ellis located?

Lauren Ellis practices at 25 Sleepy Hollow Dr, Tabernacle, NJ 08088. The listed phone number is (718) 873-4908.

What is Lauren Ellis's specialty?

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

Is Lauren Ellis enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Lauren Ellis was last updated on February 24, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.