Individual provider Active NPI

Phillip Scott Ellis, PH.D.

  • Psychologist
  • Asheville, NC
National Provider Identifier
1891976874
Registry record updated Mar 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
2276 Issued in NC
Practice address
417 Biltmore Ave
Suite 5D
Asheville, NC 28801-4501
Phone
(828) 281-2299
Fax
(828) 281-2299
NPI assigned
Nov 19, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 2276 NC Primary

Addresses

Primary practice location

417 Biltmore Ave
Suite 5D
Asheville, NC 28801-4501

Mailing address

417 Biltmore Ave
Suite 5D
Asheville, NC 28801-4501
Phone (828) 281-2299

Other identifiers 1

IdentifierTypeStateIssuer
6000176MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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

Enrollment IDStateProvider typePAC IDDetails
I20090706000317 NC Practitioner - Clinical Psychologist 0143371070 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Focus Centers,PLLCGroup PAC ID 8527298124, 3 clinicians

Practice addresses (Care Compare)

417 Biltmore Ave
Suite 4B
Asheville, NC 28801-4541
Phone (828) 281-2299

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
2276NCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Focus Centers, PLLC Psychologist CurrentSince Oct 5, 2000 Accepting new patients

Locations

417 Biltmore Ave
Ste 4B
Asheville, NC 28801
Phone (828) 253-2865

Organizations & group practices 1

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": "1195430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395792000000",
    "number": "1891976874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 BILTMORE AVE",
            "address_2": "SUITE 5D",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288014501",
            "telephone_number": "828-281-2299",
            "fax_number": "828-281-2299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 BILTMORE AVE",
            "address_2": "SUITE 5D",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288014501",
            "telephone_number": "828-281-2299",
            "fax_number": "828-281-2299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "PHILLIP",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-19",
        "last_updated": "2014-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NC",
            "license": "2276",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6000176",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheville, NC

Sources for this page

Verify at the official NPI Registry.