Ellis Edmunds
NPI 1740595768 · Clinical Psychologist · Oakland, CA
Ellis Edmunds is a Clinical Psychologist provider in Oakland, CA (NPI 1740595768).
Provider details
- NPI number
- 1740595768
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Counselor101Y00000X
Behavioral Health & Social Service Providers
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
3 documented practice locations
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
Additional practice locations (2)
- 5478a College AveOakland, CA 94618Phone: (510) 473-5083
- 2500 Bissell AveRichmond, CA 94804-1815Phone: (510) 235-1516
Registry dates
- Enumerated
- 2010-08-13
- Last updated
- 2020-07-22
- Certified
- 2020-07-22
Frequently asked questions
- What is Ellis Edmunds's NPI number?
- Ellis Edmunds's National Provider Identifier (NPI) is 1740595768, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ellis Edmunds's specialty?
- Ellis Edmunds is listed in the NPPES registry with a primary specialty of Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Ellis Edmunds located?
- Ellis Edmunds's practice location on file with NPPES is 4243 Terrace St, Oakland, CA 94611-5127.
- What is Ellis Edmunds's phone number?
- The practice phone number listed in the NPPES registry for Ellis Edmunds is (510) 919-8366.
- Is Ellis Edmunds's NPI active?
- Yes — Ellis Edmunds's NPI (1740595768) is active in the NPPES registry as of the last update on 2020-07-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.