Ashli Ellis, PSY.D.

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

Practice address

207 E St Ste B
Davis, CA 95616-4523

Phone

(530) 206-9996

NPI assigned

Aug 24, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Specialty

Clinical Psychologist

Education

Other, 2017

Medicare assignment

May accept Medicare assignment

Group practices

Vantage Point Center for PsychotherapyGroup PAC ID 0749518140, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Vantage Point Center for Psychotherapy

  • Mental Health Counselor
  • Sacramento, CA
  • NPI 1326417056
  Medicare reassignment Care Compare group NPD
• Dr. Trisha D Wallis, Psychologist, Apc

  • Clinical Psychologist
  • Sacramento, CA
  • NPI 1346862620
  NPD (past)
• Family Options Counseling

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Brookfield, WI
  • NPI 1437322807
  NPD (past)
• Family Options Counseling, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Brookfield, WI
  • NPI 1164571667
  NPD (past)

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

{
    "created_epoch": "1503532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1437676020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 E ST STE B",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956164523",
            "telephone_number": "530-206-9996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 E ST STE B",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956164523",
            "telephone_number": "530-206-9996"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3505 N 124th St",
            "address_purpose": "LOCATION",
            "city": "Brookfield",
            "state": "WI",
            "postal_code": "530052489",
            "country_code": "US",
            "telephone_number": "414-431-4444",
            "fax_number": "414-431-0858",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "ASHLI",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-24",
        "last_updated": "2022-07-21",
        "certification_date": "2020-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paula P Eisenberg, M.S.
• Jonathan Elder
• Lisa Ann Elenberger, DDS
• Elisa E Horta, MD,MPH, a Professional Medical Corporation
• Thomas E Elliott, M.D.
• Keenan Ellis
• Florence Elmore, PSY.D.
• Emerie G Elrod I
• Samuel Turner Elson, AMFT
• Emerge Center for Social and Emotional Learning

• Clinical Child & Adolescent Psychologist in Davis, CA
• Providers in Davis, CA by specialty
• Clinical Child & Adolescent Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.