Individual provider Active NPI

Ellen G Kelman, PHD

  • Psychologist
  • Scottsdale, AZ
National Provider Identifier
1144244617
Registry record updated Jul 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PHD3063 Issued in AZ
Practice address
7373 E Doubletree Ranch Rd Ste 200
Scottsdale, AZ 85258-2037
Phone
(480) 451-5558
Fax
(602) 996-6600
NPI assigned
Jul 27, 2006
Last updated
Jul 30, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PHD3063 AZ Primary

Addresses

Primary practice location

7373 E Doubletree Ranch Rd Ste 200
Scottsdale, AZ 85258-2037

Mailing address

10645 N Tatum Blvd
200-258
Phoenix, AZ 85028-3068
Phone (480) 451-5558

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051004001007 AZ Practitioner - Clinical Psychologist 7012942477 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

7373 E Doubletree Ranch Rd
Suite 200
Scottsdale, AZ 85258-2037
Phone (480) 451-5558

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PHD3063AZMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Ellen G Kelman PHD PC CurrentSince Jan 1, 1993 Accepting new patients
Leticia G Jacinto MD PC Past Accepting new patients
Fermo & Tan Fermo L L C Past Accepting new patients

Locations

10165 N 92nd St
Ste 101
Scottsdale, AZ 85258
Phone (480) 451-5558

7373 E Doubletree Ranch Rd
Ste 200
Scottsdale, AZ 85258
Phone (480) 451-5558

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753833600000",
    "number": "1144244617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10645 N TATUM BLVD",
            "address_2": "200-258",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850283068",
            "telephone_number": "480-451-5558",
            "fax_number": "602-996-6600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7373 E DOUBLETREE RANCH RD STE 200",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852582037",
            "telephone_number": "480-451-5558",
            "fax_number": "602-996-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELMAN",
        "first_name": "ELLEN",
        "middle_name": "G",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-27",
        "last_updated": "2025-07-30",
        "certification_date": "2025-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "AZ",
            "license": "PHD3063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.