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Grant Ellison
NPI 1710360573 · Clinical Psychologist · Wayne, MI
Grant Ellison is a Clinical Psychologist provider in Wayne, MI (NPI 1710360573).
Provider details
- NPI number
- 1710360573
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 6301016324 (MI)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(73/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 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
35640 W Michigan Ave
Wayne, MI 48184-1628
Phone: (734) 729-7792
Street-level locationGet directions
Mailing address
4763 Gatewood Cir
Ypsilanti, MI 48197-5035
Registry dates
- Enumerated
- 2015-06-29
- Last updated
- 2015-06-29
Frequently asked questions
- What is Grant Ellison's NPI number?
- Grant Ellison's National Provider Identifier (NPI) is 1710360573, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Grant Ellison's specialty?
- Grant Ellison is listed in the NPPES registry with a primary specialty of Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Grant Ellison located?
- Grant Ellison's practice location on file with NPPES is 35640 W Michigan Ave, Wayne, MI 48184-1628.
- What is Grant Ellison's phone number?
- The practice phone number listed in the NPPES registry for Grant Ellison is (734) 729-7792.
- Is Grant Ellison's NPI active?
- Yes — Grant Ellison's NPI (1710360573) is active in the NPPES registry as of the last update on 2015-06-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.