DR. KATHERINE DOROTHY ELLIS


Address: 2801 4th Ave, San Diego, CA 92103
Phone: 8884971314

DR. KATHERINE DOROTHY ELLIS (NPI# 1063716058) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1063716058
Entity Type Individual
Full Name DR. KATHERINE DOROTHY ELLIS
Credential PHD, MSED
Practice Address 2801 4th Ave
San Diego
CA 92103
Mailing Address 2801 4th Ave
San Diego
CA 92103-6207
Practice Telephone 8884971314
Mailing Telephone 8884971314
Mailing Fax Number 8884971314
Enumeration Date 2011-01-05
Last Update Date 2018-08-29
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
PSY24263 CA Behavioral Health & Social Service Providers

Other Providers KATHERINE ELLIS

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1508178112 Katherine H Ellis Emergency Medicine 304 S West St, Alexandria, VA 22314-5916 2010-07-12
1871570101 Katherine L Ellis Internal Medicine 1200 Reba Mcentire Dr, Denison, TX 75020-9057 2005-12-28
1588138622 Katherine J Ellis Physical Therapist 4160 Little York Rd Ste 10, Dayton, OH 45414-5803 2019-01-11
1043706393 Katherine Ellis Nurse Practitioner 2016 1st Ave, Summerville, SC 29486-0408 2018-07-10
1194225631 Katherine Trulove Ellis Midwife 401 Purdy St Ste 102, Easton, MD 21601-4060 2018-02-20
1215178827 Katherine Eleanor Ellis Counselor 201 W Springdale Ave, Knoxville, TN 37917-5158 2009-03-11
1699945931 Katherine Leigh Ellis Physical Therapist 3333 Springhill Dr, North Little Rock, AR 72117-2922 2008-03-03
1720295652 Katherine Diane Ellis Advanced Practice Midwife 2805 S Mayhill Rd, Denton, TX 76208-5910 2007-05-17
1467512921 Katherine Pace Ellis Nurse Practitioner 2101 East Jefferson Street, Rockville, MD 20852-4908 2006-12-12

Office Location

Street Address 2801 4TH AVE
City SAN DIEGO
State CA
Zip Code 92103

Providers in the same location

NPI Name Taxonomy Address Enumeration
1972818672 Lara Joan Koljonen Acupuncturist 2801 4th Ave, San Diego, CA 92103-6207 2010-08-18
1952895724 Samantha Mecklenburg Massage Therapist 2801 4th Ave, San Diego, CA 92103-6207 2018-06-15
1245766211 Shani Ayanna Cooper Acupuncturist 2801 4th Ave, San Diego, CA 92103-6207 2017-05-11
1366816506 Alexa Gonzalez Acupuncturist 2801 4th Ave, San Diego, CA 92103-6207 2015-11-27
1114310414 James Paul Yurgel Jr. Chiropractor 2801 4th Ave, San Diego, CA 92103-6207 2015-03-10
1659788099 Herbin Inc Mechanotherapist 2801 4th Ave, San Diego, CA 92103-6207 2014-07-17

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1174140057 Carmel Agdeppa Acupuncturist Chiropractique, 813 West Washington St., San Diego, CA 92103 2020-06-26
1568082717 Salina Ann Bambic Social Worker 302 Washington Street Suite 420, San Diego, CA 92103 2020-04-17
1467099432 Lina Hong Behavior Technician 3731 6th Ave. Suite 100, San Diego, Ca 92103, San Diego, CA 92103 2019-12-09
1154964567 Rodger Stacy Questin, Psychologist P.C. Psychologist 440 Upas St Apt 402, San Diego, CA 92103 2019-10-18
1932740388 Grace Tong-ventura Pharmacist 200 W. Arbor Drive, #8765, Suite 1-317, San Diego, CA 92103 2019-10-07
1306490453 Genevieve Cheung Pharmacist 200 W Arbor Dr #8765, Department of Pharmacy, San Diego, CA 92103 2019-07-26
1801356837 Marika Doviak Acupuncturist 2370 Hickory St, San Diego, CA 92103 2019-03-25
1982185070 Tyler Lewis Roberts Counselor 4303 3rd Ave, San Diego, CA 92103 2018-08-27
1689151284 Tori Breanne Blackwell Occupational Therapist 3731-a 6th Avenue, San Diego, CA 92103 2018-07-26
1952892614 Pacific Bay Recovery Inc Substance Abuse Rehabilitation Facility 4095 Jackdaw St, San Diego, CA 92103 2018-05-29
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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1184231730 Joanna Lesley Kaye Psychologist 3555 Rosecrans St Ste 114-212, San Diego, CA 92110-3231 2020-09-28
1396353520 Chandra Estelle Khalifian Psychologist 4975 Foothill Blvd, San Diego, CA 92109-2236 2020-07-14
1225661838 Sharon Saeedi Psy D Psychologist Inc Psychologist 185 W F St Ste 100l, San Diego, CA 92101-6029 2020-02-21
1609414242 Laura Beth Fitzpatrick Psychologist 3322 29th St, San Diego, CA 92104-4533 2019-12-13
1790329613 Growgood Psychology, Corp Psychologist 3405 Kenyon St # 513-06, San Diego, CA 92110-5003 2019-11-04
1891355996 Stephanie Ann Massey Psychologist 12625 High Bluff Dr Ste 206, San Diego, CA 92130-2053 2019-06-19
1225697543 Dr. Emily N. Kierce, Psychologist, A Professional Corporation Psychologist 402 W Broadway Ste 1925, San Diego, CA 92101-8505 2019-06-10
1023674884 Desiree Arlene Cuevas Psychologist 2525 Camino Del Rio S Ste 305, San Diego, CA 92108-3784 2019-05-16
1396212023 Paul William Randolph Psychologist 727 Robinson Ave Apt D, San Diego, CA 92103-4364 2018-10-31
1952876526 Amanda Cooney Psychologist 2515 Old Quarry Rd Apt 1314, San Diego, CA 92108-2759 2018-10-09
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Competitor

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City SAN DIEGO
Zip Code 92103

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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