Individual provider Active NPI

Elsa Louise Ferris, PSY.D.

  • Clinical Psychologist
  • Ontario, CA
National Provider Identifier
1841632098
Registry record updated Feb 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY31532 Issued in CA
Practice address
500 E E St Ste 111
Ontario, CA 91764-4291
Phone
(909) 999-5213
NPI assigned
Jul 29, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 19, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY31532 CA Primary

Addresses

Primary practice location

500 E E St Ste 111
Ontario, CA 91764-4291

Mailing address

500 E E St Ste 111
Ontario, CA 91764-4291
Phone (909) 999-5213

Other practice location 1

18350 Mount Langley St Ste 220
Fountain Valley, CA 92708-6912
Phone (714) 378-2620

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PSY31532CAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Western Youth Services PastSince Jun 11, 2023 Accepting new patients
Summit Psychological Services, a Professional Psych Clinical PastSince Jan 5, 2020 Accepting new patients
Western Youth Services Community/Behavioral Health Past Accepting new patients
New Alternatives Inc. Past Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1375056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582070400000",
    "number": "1841632098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 E E ST STE 111",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917644291",
            "telephone_number": "909-999-5213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 E E ST STE 111",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917644291",
            "telephone_number": "909-999-5213"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18350 Mount Langley St Ste 220",
            "address_purpose": "LOCATION",
            "city": "Fountain Valley",
            "state": "CA",
            "postal_code": "927086912",
            "country_code": "US",
            "telephone_number": "714-378-2620",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FERRIS",
        "first_name": "ELSA",
        "middle_name": "LOUISE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-29",
        "last_updated": "2020-02-19",
        "certification_date": "2020-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY31532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ontario, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2020; 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.