Oren Michael Ellis, LPE
Individual provider Active NPI Clinical Psychologist · Talbott, TN
NPI 1114919636 · NPPES record last updated Jul 6, 2012
Key facts
- NPI
- 1114919636
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- PE1721 (TN)
- Practice address
- 6350 W Andrew Johnson Hwy
Talbott, TN 37877-8605 - Phone
- (423) 587-7337
- Fax
- (423) 586-0614
- NPI assigned
- Aug 19, 2005
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PE1721 | TN | MD | Clinical Psychologist |
Interoperability endpoints
- oren.ellis.p1@direct.cherokeehealth.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PE1721 | TN | Yes |
Addresses
Primary practice location
6350 W Andrew Johnson Hwy
Talbott, TN 37877-8605
Mailing address
6350 W a J Hwy
Department 100
Talbott, TN 37877-8605
Phone (800) 355-3565
Other providers in Talbott, TN
- Doyenne Life Management, LLC
- Carolyn Drake
- Allison Janney East
- Shawndell Eddington
- Victoria Jewell Eldridge
- Sasha Mecole Ellison
- Meredith Leigh Embree
- Arlin Yasmin Escalante
- Ethel M Vicks
- Sharon Farge
All providers in Talbott, TN · Clinical Psychologist in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 6, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.