Jessica Rene Ellertson, PSYD, PPS

Primary specialty

School PsychologistTaxonomy code 103TS0200X

Practice address

8510 Lake Knoll Ave Unit C
Garden Grove, CA 92844-1275

Phone

(714) 552-8079

NPI assigned

Aug 7, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Jessica Contreras Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1754524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754524800000",
    "number": "1619852704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8510 LAKE KNOLL AVE UNIT C",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928441275",
            "telephone_number": "714-552-8079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8510 LAKE KNOLL AVE UNIT C",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928441275",
            "telephone_number": "714-552-8079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLERTSON",
        "first_name": "JESSICA",
        "middle_name": "RENE",
        "name_prefix": "Dr.",
        "credential": "PSYD, PPS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-08-07",
        "last_updated": "2025-08-07",
        "certification_date": "2025-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "CONTRERAS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Aaron Michael Elizarraras
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• Emberlit ABA

• School Psychologist in Garden Grove, CA
• Providers in Garden Grove, CA by specialty
• School Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2025; 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.