DR. DAVID T. ELLIS (NPI# 1093043754) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093043754 |
| Entity Type | Individual |
| Full Name | DR. DAVID T. ELLIS |
| Credential | PSY.D. |
| Practice Address |
211 Hunter Park Laurel Ridge Psychological Associates Princeton WV 24740 |
| Practice Telephone | 3044876121 |
| Practice Fax Number | 3044878741 |
| Mailing Telephone | 3044876121 |
| Mailing Fax Number | 3044878741 |
| Enumeration Date | 2009-11-18 |
| Last Update Date | 2013-09-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
988 | WV | Behavioral Health & Social Service Providers |
| N | 103TF0200X |
Psychologist Specialization: Forensic |
988 | WV | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730726571 | David Ellis | Pharmacist | 22317 57th Ave, Oakland Gardens, NY 11364-2041 | 2019-11-27 |
| 1790349769 | David Ellis | Student in an Organized Health Care Education/Training Program | 20000 N 57th Ave Rm K201, Glendale, AZ 85308-6988 | 2019-04-25 |
| 1609122480 | David Ellis | Chiropractor | 3200 Traders Way Ste C, Winnemucca, NV 89445-3683 | 2012-07-30 |
| 1518265479 | David D Ellis | Counselor | 89 Linwood Rd, Lynn, MA 01905-1639 | 2011-03-02 |
| 1033374285 | David William Ellis | Family Medicine | 4201 Colgate Ave, Dallas, TX 75225-6604 | 2008-07-26 |
| 1053451476 | David Welford Ellis | Clinical Neuropsychologist | 325 Route 45, Salem, NJ 08079-2045 | 2007-02-07 |
| 1487738928 | David Paul Ellis | Anesthesiology | 1226 N Shartel Ave, Suite 300, Oklahoma City, OK 73103 | 2006-10-24 |
| 1184711426 | David A. Ellis | Family Medicine | 2530 Ne Kresky Ave Ste C, Chehalis, WA 98532-2406 | 2006-10-06 |
| 1841397007 | David Chad Ellis | Dentist | 2524 Highway 41 S, Greenbrier, TN 37073-4544 | 2006-09-20 |
| 1386748747 | David Williams Ellis | General Practice | 192 W Center St, Millersburg, PA 17061-1314 | 2006-09-07 |
| Street Address |
211 HUNTER PARK LAUREL RIDGE PSYCHOLOGICAL ASSOCIATES |
| City | PRINCETON |
| State | WV |
| Zip Code | 24740 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598726135 | Barbara Hunter Romfo | Psychologist | 211 Hunter Park, Princeton, WV 24740-2532 | 2006-03-31 |
| 1316555170 | Brian Lueck | Psychologist | 211 Hunter Park, Princeton, WV 24740-2532 | 2020-07-17 |
| 1790845816 | Laurel Ridge Psychological Associates | Psychologist | 211 Hunter Park, Laurel Ridge Psychological Associates, Princeton, WV 24740 | 2006-12-11 |
| 1609895440 | William Allen Brezinski | Psychologist | 211 Hunter Park, Laurel Ridge Psychological Associates, Princeton, WV 24740 | 2006-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427658632 | New Beginnings Therapy Services, LLC | Community/Behavioral Health | 616 Harrison Street, Princeton, WV 24740 | 2020-10-27 |
| 1215536222 | Right At Home | Home Health | 313 Locus St, Princeton, WV 24740 | 2020-10-21 |
| 1881208098 | Robin Lane | Technician | 174 Tea Kettle Road, Princeton, WV 24740 | 2020-09-04 |
| 1134739824 | Nona Arthur | Technician | 708 Bluefiled Ave, Princeton, WV 24740 | 2020-08-06 |
| 1851909014 | Tina B Altizer | Speech-Language Pathologist | 120 12th Street, Princeton, WV 24740 | 2020-07-14 |
| 1245712504 | Tracy Jean Mitchell | Speech-Language Pathologist | 1200 Mercer St, Princeton, WV 24740 | 2018-09-04 |
| 1700305240 | Tina Six | Registered Nurse | 1403 Honaker Avenue, Princeton, WV 24740 | 2017-09-15 |
| 1013449172 | Karin Cappa | Pharmacist | 669 Cornfield Rd, Princeton, WV 24740 | 2017-03-29 |
| 1942661723 | Virginia Chryssikos | Social Worker | 3016 E Cumberland Road, Bluestone Family Practice, Bluefield, WV 24740 | 2016-03-08 |
| 1477939460 | Kathy Diane Wyrick | Counselor | 220 South Walker Street, Princeton, WV 24740 | 2015-08-03 |
| Find all providers in zip 24740 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043709504 | Susan Ellen Darley X | Psychologist | 16 Deer Path, Princeton, NJ 08540-4053 | 2018-05-09 |
| 1871035733 | Hillary Koskinen Vescio | Psychologist | 204 Camelot Ct, Princeton, NJ 08540-9003 | 2016-11-09 |
| 1629439997 | Daniel Goldberg | Psychologist | 601 Ewing St Ste C9, Princeton, NJ 08540-2756 | 2016-03-15 |
| 1811354822 | Brooke Sweet | Psychologist | 20 Nassau Street, Suite 409, Princeton, NJ 08542 | 2016-01-21 |
| 1407152804 | Linda R Hay | Psychologist | 344 Nassau St, Suite 101, Princeton, NJ 08540-4622 | 2011-02-02 |
| 1114243615 | Jonathan Geller | Psychologist | 247 Nassau St, Princeton, NJ 08540-4619 | 2010-04-09 |
| 1083871925 | Peter Owen Whitmer | Psychologist | 10 Laurel Ln, Princeton, MA 01541-1018 | 2008-05-19 |
| 1689878290 | Michael Robertson | Psychologist | 604 1st St Ste 100, Princeton, MN 55371-1606 | 2007-06-14 |
| 1225259658 | Linda I Meyers | Psychologist | 484 Prospect Ave, Princeton, NJ 08540-4077 | 2007-05-02 |
| 1427170703 | Charles T Bachus, Pa | Psychologist | 166 Bunn Dr Ste 101, Princeton, NJ 08540-2800 | 2007-04-06 |
| Find all providers in PRINCETON | ||||
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| 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.