Active NPI
Jarrod Martin Ellingson, PHD
- Clinical Psychologist
- Aurora, CO
National Provider Identifier
1306477708
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY.0005204
- Practice address
- 1693 Quentin St
Aurora, CO 80045-2518 - Phone
- (303) 724-4987
- NPI assigned
- Feb 4, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY.0005204 | CO | |
| Clinical Psychologist | 103TC0700X | PSY.0005204 | CO | Primary |
Addresses
Primary practice location
1693 Quentin St
Aurora, CO 80045-2518
Mailing address
PO Box 110429
Aurora, CO 80042-0429
Other practice location 1
13001 E 17th Pl
Aurora, CO 80045-2570
Phone (303) 724-0924
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY.0005204 | CO | MD | Psychologist |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba CU Medicine
- Internal Medicine Physician
- Aurora, CO
- NPI 1962461889
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739145600000",
"number": "1306477708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 110429",
"city": "AURORA",
"state": "CO",
"postal_code": "800420429"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1693 QUENTIN ST",
"city": "AURORA",
"state": "CO",
"postal_code": "800452518",
"telephone_number": "303-724-4987"
}
],
"practiceLocations": [
{
"address_1": "13001 E 17th Pl",
"address_purpose": "LOCATION",
"city": "Aurora",
"state": "CO",
"postal_code": "800452570",
"country_code": "US",
"telephone_number": "303-724-0924",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ELLINGSON",
"first_name": "JARROD",
"middle_name": "MARTIN",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-02-04",
"last_updated": "2025-02-10",
"certification_date": "2025-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CO",
"license": "PSY.0005204",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CO",
"license": "PSY.0005204",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Aurora, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.