Ellis Evaluation Services, LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY003274 Issued in GA

Legal business name

ELLIS EVALUATION SERVICES, LLC

Doing business as

Ellis Evaluation & Consulting Services

Practice address

2255 Cumberland Pkwy SE BLDG 500-140
Atlanta, GA 30339-4524

Phone

(678) 538-6450

NPI assigned

Jun 15, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Mesha L. Ellis, PHD

Title

Owner/Psychologist

Phone

(678) 538-6450

Specialties & licenses 1

Addresses

Other names 1

• Ellis Evaluation & Consulting Services Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Alexis Wright, MFT

  • Marriage & Family Therapist
  • Kennesaw, GA
  • NPI 1790305118
  NPD (past)

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

{
    "created_epoch": "1371254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371254400000",
    "number": "1730528464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2255 CUMBERLAND PKWY SE BLDG 500-140",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303394524",
            "telephone_number": "678-538-6450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2255 CUMBERLAND PKWY SE BLDG 500-140",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303394524",
            "telephone_number": "678-538-6450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLIS EVALUATION SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-15",
        "last_updated": "2013-06-15",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "MESHA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER/PSYCHOLOGIST",
        "authorized_official_telephone_number": "678-538-6450",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "GA",
            "license": "PSY003274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ellis Evaluation & Consulting Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Steven M Elliott, M.D.
• Susan Elliott, AGNP
• Tessa Elliott, PT
• Trenton C Elliott, MD
• Yolanda Yvette Elliott, FNP
• Gale Elaine Ellis-Johnson, RN
• Allison Ellis, CCC-SLP
• Ansley Ellis
• Aumarey Nathaniel Ellis
• Caley Ellis, LPTA

• Clinical Psychologist in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Clinical Psychologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2013; 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.