Philip Ellis, PH.D.
NPI 1073549911 · Psychologist · Grand Rapids, MI
Enrolled with Medicare as Practitioner - Clinical Psychologist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Philip Ellis, PH.D. is a Psychologist provider in Grand Rapids, MI (NPI 1073549911).
Provider details
- NPI number
- 1073549911
- Entity type
- Individual
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Credential
- PH.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 6301005230 (MI)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
Mailing address
Registry dates
- Enumerated
- 2006-06-23
- Last updated
- 2017-09-19
Frequently asked questions
- What is Philip Ellis's NPI number?
- Philip Ellis's National Provider Identifier (NPI) is 1073549911, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Philip Ellis's specialty?
- Philip Ellis is listed in the NPPES registry with a primary specialty of Psychologist (Behavioral Health & Social Service Providers).
- Where is Philip Ellis located?
- Philip Ellis's practice location on file with NPPES is 300 68th St Se, Grand Rapids, MI 49548-6927.
- What is Philip Ellis's phone number?
- The practice phone number listed in the NPPES registry for Philip Ellis is (616) 455-5000.
- Does Philip Ellis accept Medicare?
- Philip Ellis is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Philip Ellis's NPI active?
- Yes — Philip Ellis's NPI (1073549911) is active in the NPPES registry as of the last update on 2017-09-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.