Kenneth Ellis, PH.D.
NPI 1417973850 · Clinical Psychologist · Marysville, WA
Enrolled with Medicare as Practitioner - Clinical Psychologist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kenneth Ellis, PH.D. is a Clinical Psychologist provider in Marysville, WA (NPI 1417973850).
Provider details
- NPI number
- 1417973850
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Credential
- PH.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- PY00003392 (WA)
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
19 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
- 2006-07-15
- Last updated
- 2016-02-12
Frequently asked questions
- What is Kenneth Ellis's NPI number?
- Kenneth Ellis's National Provider Identifier (NPI) is 1417973850, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kenneth Ellis's specialty?
- Kenneth Ellis is listed in the NPPES registry with a primary specialty of Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Kenneth Ellis located?
- Kenneth Ellis's practice location on file with NPPES is 1106 Columbia Ave, Marysville, WA 98270-4335.
- What is Kenneth Ellis's phone number?
- The practice phone number listed in the NPPES registry for Kenneth Ellis is (360) 653-0374.
- Does Kenneth Ellis accept Medicare?
- Kenneth Ellis is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kenneth Ellis's NPI active?
- Yes — Kenneth Ellis's NPI (1417973850) is active in the NPPES registry as of the last update on 2016-02-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.