KENNETH R ELLIS


Address: 5525 Twin Knolls Rd, Suite 327, Columbia, MD 21045-3266
Phone: 4109929149

KENNETH R ELLIS (NPI# 1215017694) 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) 1215017694
Entity Type Individual
Full Name KENNETH R ELLIS
Credential PHD
Practice Address 5525 Twin Knolls Rd
Suite 327
Columbia
MD 21045-3266
Practice Telephone 4109929149
Practice Fax Number 4109929921
Mailing Telephone 4109929149
Mailing Fax Number 4109929921
Enumeration Date 2006-10-17
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 103TC1900X Psychologist
Specialization: Counseling
PY4750 FL Behavioral Health & Social Service Providers
Y 103TC1900X Psychologist
Specialization: Counseling
1003 MD Behavioral Health & Social Service Providers

Other Providers KENNETH ELLIS

NPI Name Taxonomy Address Enumeration
1154403210 Kenneth Nickolas Ellis Dentist 7995 Bellfort St, Houston, TX 77061-1960 2006-10-19
1417973850 Kenneth J Ellis Psychologist 1106 Columbia Ave, Suite 100, Marysville, WA 98270-4335 2006-07-15
1215981022 Kenneth R Ellis Ophthalmology 1213 24th St, Suite 300, Anacortes, WA 98221-2592 2006-05-19
1447248133 Kenneth Ellis Anesthesiology 1099 Augusta Falls Way, Naples, FL 34119-1362 2005-10-07
1992212633 Kenneth Ellis Case Manager/Care Coordinator 1802 Hwy 82 West, Crossett, AR 71635 2018-01-03
1700103934 Kenneth Ray Ellis Specialist 2243 Eddie Williams Rd, Johnson City, TN 37601-2872 2010-04-28
1114902228 Kenneth K Ellis Internal Medicine 11111 Research Blvd, Suite 390, Austin, TX 78759-5264 2005-12-12

Office Location

Street Address 5525 TWIN KNOLLS RD
SUITE 327
City COLUMBIA
State MD
Zip Code 21045-3266

Providers in the same location

NPI Name Taxonomy Address Enumeration
1578504296 Columbia Counseling Center P.a. Psychologist 5525 Twin Knolls Rd, Suite 327, Columbia, MD 21045-3266 2006-06-10
1952762635 Neha Patel Psychologist 5525 Twin Knolls Rd, Suite 327, Columbia, MD 21045-3266 2016-03-09
1750720744 Ida C Deliberis Psychologist 5525 Twin Knolls Rd, 327 and 329, Columbia, MD 21045-3266 2013-06-23
1750724282 Monique Reynolds Psychologist 5525 Twin Knolls Rd, Suite 327 and 329, Columbia, MD 21045-3266 2013-04-15
1043561665 Tina Marie Hickson Massage Therapist 5525 Twin Knolls Rd, Suite 321, Columbia, MD 21045-3266 2012-09-21
1780932780 Ann Elisabeth Kimball Psychologist 5525 Twin Knolls Rd, Ste. 327, Columbia, MD 21045-3266 2012-08-22
1235401092 Virginia Zimmerman Psychologist 5525 Twin Knolls Rd, Suite 327, Columbia, MD 21045-3266 2012-02-08
1932404423 John Joseph Coughlin IIi Psychologist 5525 Twin Knolls Rd, Suite 327, Columbia, MD 21045-3266 2011-01-14
1780994004 Melanie Sholtis Psychologist 5525 Twin Knolls Rd, Suite 327, Columbia, MD 21045-3266 2010-10-20
1457684664 Tanya Justyne Quille Psychologist 5525 Twin Knolls Rd, Columbia, MD 21045-3266 2009-09-08
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
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1649754490 Dana Pirzchalski Behavioral Analyst 8815 Columbia Parkwary, 4, Columbia, MD 21045 2018-09-18
1871089177 Melissa Jo Kennedy Behavior Technician 8815 Columbia Parkway, 4, Columbia, MD 21045 2018-07-10
1497246193 Kjd Physical Therapist 8900 Columbia 100 Pkwy Ste C, Columbia, MD 21045 2018-05-29
1174010276 Roger Lee Audiologist 8600 Snowden River Pkwy #309, Columbia, MD 21045 2018-04-16
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Taxonomy Information

Taxonomy Code 103TC1900X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Counseling

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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1841676970 Aubrey Ball Psychologist 107 Birch Hollow Dr, Columbia, SC 29229-8207 2015-07-30
1063765725 Military Family Services Psychologist 6510 Strom Thurmond Blvd, Columbia, SC 29207-5202 2012-10-18
1871861112 Michael Thomas Guilbault Psychologist 5248 Cedar Ln, Columbia, MD 21044-1286 2011-12-01
1972811826 Renee Lynn Mapes Psychologist 3407 Berrywood Dr., Suite 200, Columbia, MO 65201 2010-09-14
1467778126 Matthew Paul Martens Psychologist 16 Hill Hall, University of Missouri, Columbia, MO 65211-2130 2010-04-20
1013177708 Randee Shenkel Psychologist 2804 Forum Blvd Ste 4, Columbia, MO 65203-6322 2008-06-16
1972640597 Christy Ann Clark Hutton Psychologist 2710 Forum Blvd, Columbia, MO 65203-5433 2007-01-31
1326133927 Deanna S Pledge Psychologist 28 N. 8th Street, Suite 300, Columbia, MO 65201 2006-10-03
1164515896 Michael John Mayer Psychologist 3407berrywood Drive, Suite 200, Columbia, MO 65201-6572 2006-10-02
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Competitor

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City COLUMBIA
Zip Code 21045

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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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