Sterling G. Ellsworth PH.D. P.C.

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

STERLING G. ELLSWORTH PH.D. P.C.

Practice address

25450 Arnold LN
Elmira, OR 97437-9782

Phone

(541) 935-6215

NPI assigned

Oct 29, 2019

Last updated

Oct 29, 2019By 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

Anne Ellsworth

Title

Office Manager

Phone

(541) 935-6215

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Sterling Grant Ellsworth, PHD PC

  • Psychologist
  • Elmira, OR
  • NPI 1114062759
  NPD (past)

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

{
    "created_epoch": "1572307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572307200000",
    "number": "1942844469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 635",
            "city": "ELMIRA",
            "state": "OR",
            "postal_code": "974370635",
            "telephone_number": "541-935-6215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25450 ARNOLD LN",
            "city": "ELMIRA",
            "state": "OR",
            "postal_code": "974379782",
            "telephone_number": "541-935-6215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STERLING G. ELLSWORTH PH.D. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-29",
        "last_updated": "2019-10-29",
        "status": "A",
        "authorized_official_last_name": "ELLSWORTH",
        "authorized_official_first_name": "ANNE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "541-935-6215"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Isa Felicitas Jennings, MS
• Cameron R Metzler, FNP
• Jeanna Nicoson, R.N.
• Orchid Oakridge Clinic, PC (Orchid Health - Fern Ridge Clinic)
• Chelsea J. Sloanes, PA-C

• Psychologist in Elmira, OR
• Providers in Elmira, OR by specialty
• Psychologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2019; 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.