DR. AMY ELLIS (NPI# 1912038696) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912038696 |
| Entity Type | Individual |
| Full Name | DR. AMY ELLIS |
| Credential | PSYD |
| Practice Address |
3754 Clairemont Dr San Diego CA 92117-5916 |
| Practice Telephone | 6195044246 |
| Practice Fax Number | 8584833567 |
| Mailing Telephone | 6195044246 |
| Mailing Fax Number | 8584833567 |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY 15846 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720603202 | Amy Nicole Ellis | Nurse Practitioner | 130 Baker St N, Blackville, SC 29817-2426 | 2020-06-10 |
| 1447798665 | Amy Ellis | Occupational Therapist | 370 Goshen Ln, Gahanna, OH 43230-2713 | 2017-02-08 |
| 1861741241 | Amy Dawn Ellis | Dietitian, Registered | Highway 169 Mile Marker 29, Alamo, NM 87825-5907 | 2012-08-31 |
| 1578847984 | Amy Lynn Ellis | Occupational Therapist | 204 High St, Morristown, NY 13664-3219 | 2011-10-04 |
| 1891814174 | Amy Roskelley Ellis | Marriage & Family Therapist | 313 Judah St Ste 5, Roseville, CA 95678-2651 | 2007-03-28 |
| 1396850988 | Amy Carol Ellis | Counselor | 5200 Woodbine Rd, Pace, FL 32571-8715 | 2006-08-21 |
| 1326405739 | Amy E. Ellis | Psychologist | 7501 Nw 4th St, Suite 215, Plantation, FL 33317-2245 | 2016-01-15 |
| 1528304904 | Amy M Ellis | Occupational Therapist | 8550 Marshall Dr, Ste 210, Lenexa, KS 66214-1505 | 2012-12-12 |
| 1699050013 | Amy Ellis | Pharmacist | 2245 84th St Sw, Byron Center, MI 49315-8666 | 2011-10-17 |
| 1336376722 | Amy Ellis | Speech-Language Pathologist | 2141 Sycamore Ave, Louisville, KY 40206-2013 | 2009-06-12 |
| Street Address |
3754 CLAIREMONT DR |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92117-5916 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477646701 | Meg Lawrence, M.d., A.p.c. | Pediatrics | 3754 Clairemont Dr, San Diego, CA 92117-5916 | 2006-09-30 |
| 1720245350 | Terri A. Fong | Social Worker | 3754 Clairemont Dr, San Diego, CA 92117-5916 | 2008-05-21 |
| 1457559494 | Mark Katz | Psychologist | 3754 Clairemont Dr, San Diego, CA 92117-5916 | 2007-07-10 |
| 1720283971 | Danielle Miller | Psychologist | 3754 Clairemont Dr, San Diego, CA 92117-5916 | 2007-06-18 |
| 1427148733 | Meg Depender Lawrence | Pediatrics | 3754 Clairemont Dr, San Diego, CA 92117-5916 | 2006-10-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154956050 | Enbara Corporation | Dentist | 5189 Clairmont Mesa Blvd, San Diego, CA 92117 | 2020-03-11 |
| 1568956050 | Lourdes C Villagran | Case Manager/Care Coordinator | 4474 Charger Blvd, San Diego, CA 92117 | 2018-06-18 |
| 1750893509 | Dzendzel Family Chiropractic | Chiropractor | 3650 Clairemont Drive, Ste 2, San Diego, CA 92117 | 2017-11-02 |
| 1205355401 | Alan Ford | Counselor | 4150 Ute Dr., San Diego, CA 92117 | 2017-09-19 |
| 1780101238 | Allison Dawn Heeney | Occupational Therapist | 3386 Hopi Place, San Diego, CA 92117 | 2017-08-25 |
| 1275074379 | Rachel Gabrielle Packer | Counselor | 5252 Balboa Ave Ste 801, San Diego, CA 92117 | 2017-03-09 |
| 1316482995 | Lisa Graff-marsh, Inc. | Social Worker | 4985 Park Rim Dr., San Diego, CA 92117 | 2017-01-05 |
| 1417408949 | Markos and Markos 1 Inc | Private Vehicle | 4495 Clairemont Mesa Blvd, San Diego, CA 92117 | 2016-10-19 |
| 1801341813 | Huynh and Habashi Dental Corporation | Dentist | 2995 Clairemont Dr, Suite A, San Diego, CA 92117 | 2016-08-19 |
| 1184076077 | Tammy Monck | Optometrist | 3952 Clairemont Mesa Blvd Ste I, San Diego, CA 92117 | 2016-07-05 |
| Find all providers in zip 92117 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| 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 |
| Find all providers in SAN DIEGO | ||||
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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.