JEFFREY K. ELLENS, PH.D. PLC (NPI# 1093102741) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093102741 |
| Entity Type | Organization |
| Organization Name | JEFFREY K. ELLENS, PH.D. PLC |
| Practice Address |
1045 76th St Suite 3030 West Des Moines IA 50266-5834 |
| Practice Telephone | 5157773388 |
| Practice Fax Number | 5157773387 |
| Mailing Telephone | 5157773388 |
| Mailing Fax Number | 5157773387 |
| Enumeration Date | 2015-04-21 |
| Last Update Date | 2015-04-21 |
| Authorized Official Name | MR. NICHOLAS RESSLER (OFFICE MANAGER) |
| Authorized Official Telephone | 5157773388 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
001132 | IA | Behavioral Health & Social Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | JEFFREY K ELLENS, PH.D., PLC | Jeffrey K. Ellens Ph.d Plc, 104 E Main St. Ste 410, Bozeman, MT 59715 |
| Street Address |
1045 76TH ST SUITE 3030 |
| City | WEST DES MOINES |
| State | IA |
| Zip Code | 50266-5834 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942202528 | Susan Lynn Schooler | Physician Assistant | 1045 76th St, Suite 1050, West Des Moines, IA 50266-5886 | 2005-08-12 |
| 1477937530 | West Des Moines Center for Psychotherapy, LLC | Psychologist | 1045 76th St, Suite 3030, West Des Moines, IA 50266-5834 | 2015-07-17 |
| 1922424928 | Canales Associates | Psychologist | 1045 76th St, #3030, West Des Moines, IA 50266-5834 | 2014-03-14 |
| 1487914586 | Jeffrey K. Ellens | Psychologist | 1045 76th St, Suite 3030, West Des Moines, IA 50266-5834 | 2012-05-22 |
| 1750689048 | Catalina D'achiardi-ressler | Psychologist | 1045 76th St, Unit 3030, West Des Moines, IA 50266-5913 | 2011-03-10 |
| 1982830394 | Cora Beth Schuhmacher-briggs | Psychologist | 1045 76th St, Ste 3030, West Des Moines, IA 50266-5834 | 2009-06-01 |
| 1053366872 | Schooler Medical Professionals PC | Physician Assistant | 1045 76th St, Suite 1050, West Des Moines, IA 50266-5834 | 2006-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013544667 | Annie Penquite | Physician Assistant | 6001 Westown Pwky, West Des Moines, IA 50266 | 2020-03-24 |
| 1730733205 | Erin Allyn Fiala | Counselor | 1200 Valley West Dr Suite 508, West Des Moines, IA 50266 | 2019-08-01 |
| 1598325151 | Cornerstone Pediatrics and Family Allergy, Plc | Pediatrics | 6800 Lake Drive, #260, West Des Monies, IA 50266 | 2019-06-17 |
| 1093286395 | Ccrc of West Des Moines, LLC | Skilled Nursing Facility | 8950 Coachlight Drive, West Des Moines, IA 50266 | 2018-12-12 |
| 1326517400 | Merit Hearing LLC | Audiologist-Hearing Aid Fitter | 2910 Westown Pkwy Ste 110, West Des Moines, IA 50266 | 2018-11-18 |
| 1699253807 | Diamond Home Health Care Services | Home Health | 4949 Weston Pkwy Ste 165 #836, West Des Moines, IA 50266 | 2018-07-31 |
| 1285129932 | Hy Vee Inc | Pharmacy | 375 South Jordan Creek Parkway, West Des Moines, IA 50266 | 2018-06-26 |
| 1669965208 | Rx Precision, Inc. | Case Management | 6205 Mills Civic Pkwy Ste 201, West Des Moines, IA 50266 | 2018-06-08 |
| 1912406588 | Cora Schuhmacher, Psy.d., Pllc | Psychologist | 1045 76th St Unit 3030, West Des Moines, IA 50266 | 2018-02-08 |
| 1508374778 | Brian L Bentley | Counselor | 5500 Wild Rose Lane, Suite 400, West Des Moines, IA 50266 | 2018-01-22 |
| Find all providers in zip 50266 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255622262 | Matthew C Cooper | Psychologist | 3408 Woodland Avenue, Suite 102, West Des Moines, IA 50266-5365 | 2011-04-25 |
| 1427239862 | Randal David Reynolds Phd LLC | Psychologist | 4401 Westown Pkwy Ste 309, West Des Moines, IA 50266-6721 | 2007-11-14 |
| 1003937202 | Krista M Brittain-dial | Psychologist | 950 Office Park Rd Ste 221, West Des Moines, IA 50265-2548 | 2007-04-03 |
| 1952491185 | Molly Quinn Daniel | Psychologist | 4401 Westown Pkwy Ste 109, West Des Moines, IA 50266-6721 | 2006-10-16 |
| 1649364175 | Daniel Glen Earle | Psychologist | 3408 Woodland Ave., Ste. 209, West Des Moines, IA 50266 | 2006-10-02 |
| 1063431872 | Randal David Reynolds | Psychologist | 4401 Westown Pkwy, Suite 309, West Des Moines, IA 50266-6721 | 2006-07-19 |
| 1215919725 | Karen Rae Ahrens | Psychologist | 1200 Valley West Dr, Suite 707, West Des Moines, IA 50266-1908 | 2005-11-18 |
| 1891314969 | Anxiety & Ocd Treatment Services, Pllc | Psychologist | 6750 Westown Pkwy Ste 200-154, West Des Moines, IA 50266-7723 | 2020-04-09 |
| 1811387046 | Evans Neuropsychology and Therapy | Psychologist | 1001 Office Park Rd, 301, West Des Moines, IA 50265-2587 | 2015-01-26 |
| 1487914586 | Jeffrey K. Ellens | Psychologist | 1045 76th St, Suite 3030, West Des Moines, IA 50266-5834 | 2012-05-22 |
| Find all providers in WEST DES MOINES | ||||
| City | WEST DES MOINES |
| Zip Code | 50266 |
Please comment or provide details below to improve the information on JEFFREY K. ELLENS, PH.D. PLC.
| 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.