DR. JACQUELINE A ELLIS PHD
NPI 1992821730
Psychologist in Columbia, MO

Active since March 22, 2007
204 AUSTIN AVE, COLUMBIA, MO 65203(573) 875-1718(573) 875-1431 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Jacqueline A Ellis Phd NPPES

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

DR. JACQUELINE A ELLIS PHD (NPI 1992821730) is an individual psychologist in Columbia, Missouri, licensed in Missouri (PY00548) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1992821730
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. JACQUELINE A ELLISCredential: PHD
Location Address204 AUSTIN AVEColumbia, MO 65203-4078
Mailing Address204 Austin AveColumbia, MO 65203-4078 · (573) 875-1718 · Fax (573) 875-1431
Fax(573) 875-1431
Sole ProprietorYes
Enumeration DateMarch 22, 2007
Last NPPES UpdateJuly 9, 2007
NPI 1992821730 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 MO · PY00548
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.
204 AUSTIN AVE, Columbia, MO 65203

Other Providers at the Same Location NPPES

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

Social Worker (Clinical)
204 AUSTIN AVE
COLUMBIA, MO 65203

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 Jacqueline Ellis's NPI number?

The NPI number for Jacqueline Ellis is 1992821730. It was assigned to this individual provider in the NPPES registry on March 22, 2007.

Where is Jacqueline Ellis located?

Jacqueline Ellis practices at 204 Austin Ave, Columbia, MO 65203. The listed phone number is (573) 875-1718.

What is Jacqueline Ellis's specialty?

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

When was this NPI record last updated?

The NPPES record for Jacqueline Ellis was last updated on July 9, 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.