IndividualActive
Jessica Ellem, PHD
NPI 1043079197 · Clinical Psychologist · Ann Arbor, MI
Jessica Ellem, PHD is a Clinical Psychologist provider in Ann Arbor, MI (NPI 1043079197).
Provider details
- NPI number
- 1043079197
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Credential
- PHD
- Sex
- Female
- Sole proprietor
- Yes
- License
- 6351004650 (MI)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(57/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2215 Fuller Road
Mental Health Service Line
Ann Arbor, MI 48105
Phone: (734) 769-7100
Street-level locationGet directions
Mailing address
7341 Wilderness Park Dr Apt 303
Westland, MI 48185-5974
Registry dates
- Enumerated
- 2024-03-18
- Last updated
- 2024-03-18
- Certified
- 2024-03-18
Frequently asked questions
- What is Jessica Ellem's NPI number?
- Jessica Ellem's National Provider Identifier (NPI) is 1043079197, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jessica Ellem's specialty?
- Jessica Ellem is listed in the NPPES registry with a primary specialty of Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Jessica Ellem located?
- Jessica Ellem's practice location on file with NPPES is 2215 Fuller Road, Ann Arbor, MI 48105.
- What is Jessica Ellem's phone number?
- The practice phone number listed in the NPPES registry for Jessica Ellem is (734) 769-7100.
- Is Jessica Ellem's NPI active?
- Yes — Jessica Ellem's NPI (1043079197) is active in the NPPES registry as of the last update on 2024-03-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.