Ellis Psychiatry, LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

ELLIS PSYCHIATRY, LLC

Practice address

1880 N Eastman Rd Ste 130
Kingsport, TN 37664-2385

Phone

(423) 915-6765

Fax

(205) 880-9514

NPI assigned

Jun 1, 2026

Last updated

Jun 1, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Stefani Ellis, PMHNP-BCNPI 1063065621

Title

Nurse Practitioner, Owner

Phone

(423) 915-6284

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Stefani Ellis, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Kingsport, TN
  • NPI 1063065621
  NPD Authorized official
• Melody Ellis

  • Psychiatric/Mental Health Nurse Practitioner
  • Kingsport, TN
  • NPI 1780532457
  NPD (past)

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

{
    "created_epoch": "1780272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780272000000",
    "number": "1447182878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3833 CIMARRON DR",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376643917",
            "telephone_number": "423-915-6284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1880 N EASTMAN RD STE 130",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376642385",
            "telephone_number": "423-915-6765",
            "fax_number": "205-880-9514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLIS PSYCHIATRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-01",
        "last_updated": "2026-06-01",
        "certification_date": "2026-06-01",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "STEFANI",
        "authorized_official_title_or_position": "NURSE PRACTITIONER, OWNER",
        "authorized_official_telephone_number": "423-915-6284",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ellag, Inc. (Beltone of Tri Cities)
• Claire Elliott, PHARMD
• Lizanne M Elliott, FNP
• Logan Elliott, NP-C
• Troy Vincent Elliott, BS
• David Lance Ellis, PT
• Melody Ellis
• Michelle Renee Ellis, RN
• Paul D Ellis, MD
• Rachel Dawn Ellis, OTR/L

• Adult Mental Health Clinic/Center in Kingsport, TN
• Providers in Kingsport, TN by specialty
• Adult Mental Health Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 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.