Ellison Psychological Services PLLC

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

ELLISON PSYCHOLOGICAL SERVICES PLLC

Practice address

34 Myrtle St
Belmont, NC 28012-5200

Phone

(803) 620-4411

NPI assigned

Nov 26, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jeffrey Ellison, PHDNPI 1649559873

Title

Owner/Psychologist

Phone

(803) 620-4411

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeffrey Hugh Ellison, PHD

  • Clinical Psychologist
  • Gastonia, NC
  • NPI 1649559873
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1764115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775347200000",
    "number": "1134081227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 MYRTLE ST",
            "city": "BELMONT",
            "state": "NC",
            "postal_code": "280125201",
            "telephone_number": "803-620-4411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 MYRTLE ST",
            "city": "BELMONT",
            "state": "NC",
            "postal_code": "280125200",
            "telephone_number": "803-620-4411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLISON PSYCHOLOGICAL SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-26",
        "last_updated": "2026-04-05",
        "certification_date": "2026-04-05",
        "status": "A",
        "authorized_official_last_name": "ELLISON",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "OWNER/PSYCHOLOGIST",
        "authorized_official_telephone_number": "803-620-4411",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychologist in Belmont, NC
• Providers in Belmont, NC by specialty
• Psychologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.