Kenneth J. Ellis, PH.D.
Clinical Psychologist · Marysville, WA
Kenneth J. Ellis, PH.D. is a clinical psychologist with a practice address in Marysville, Washington, and NPI 1417973850, issued on Jul 15, 2006. Check the license (Washington PY00003392, as entered in NPPES) with the Washington board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.
- Name
- Kenneth J. Ellis
- Credential
- PH.D.
- Primary taxonomy
- Clinical Psychologist 103TC0700X
- License number
- PY00003392 WA
Self-reported in NPPES; status is on the state search - Practice location
- 1106 Columbia Ave, Marysville, WA 98270
- Phone
- (360) 653-0374
- Enumerated
- Jul 15, 2006
- Record last updated
- Feb 12, 2016 (not updated in 10 years: call before relying on the address or phone)
- Fax
- (360) 658-0219
- Medicare enrollment
- Enrolled (PECOS I20051008000270); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest clinical psychologist records → All 1,675 in Washington → Look up another NPI →
Also registered at 1106 Columbia Ave
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Anna Campbell, LICSWClinical Social Worker1114890068
- Enika Cocoli, PH.D.Clinical Psychologist1154643880
- Tracy Duffy, L.M.P, C.H.PMassage Therapist1497955173
- Cindy Frederickson, MA, LMHC, CDPMental Health Counselor1003018839
- Rochelle Long, MR LMHC CDPCounselor1447316070
- Catherine Murray, M.F.T.Marriage & Family Therapist1235305004
Verify Kenneth J. Ellis in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Washington board licenses this profession
Search for license PY00003392Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Kenneth J. Ellis among 1,675 clinical psychologist records in Washington
Kenneth J. Ellis, PH.D. is one of 1,675 clinical psychologist records with a practice address in Washington. 13% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does not. Its NPI, issued in 2006, is newer than 2% of them.
- NPI issued2006 · 2% of these records are older, 76% newer
- In a Medicare fileNo · 13% of these records are
- In the CMS Doctors and Clinicians fileYes · 23% of these records are
- Graduated1978 · median 2009 among the 386 with a school on file
- Record last updated2016 · 65% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 103TC0700X and a Washington practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Clinical Psychologist providers in Washington
There are 1,675 clinical psychologist records in Washington. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.
All 1,675 in Washington → Every provider in Marysville → Clinical Psychologist nationwide →
The 8 clinical psychologist records with the nearest ZIP codes
- Enika Cocoli, PH.D.Marysville, WA 982701154643880
- Dana Laffin, PSY.D.Marysville, WA 982701548573926
- Terra Rea, PSYD, PLLCMarysville, WA 982701518291871
- Nicole Winters, LICSW, PSYDMarysville, WA 982701306075940
- William Kelleher, PH.D.Marysville, WA 982711801921440
- Hillary Russell, MA, RCTulalip, WA 982711881853794
- Silverio Arenas, PH.DMount Vernon, WA 982731649507963
- Jennifer Clarke, PH.D.Mount Vernon, WA 982731962566786
Common questions
What is Kenneth J. Ellis, PH.D.'s NPI number?
Kenneth J. Ellis, PH.D.'s National Provider Identifier (NPI) is 1417973850, issued on Jul 15, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Kenneth J. Ellis, PH.D. located?
The NPPES record lists a practice address at 1106 Columbia Ave, Marysville, WA, 98270. Phone: (360) 653-0374. Providers update this record themselves, so call before visiting.
How can I verify Kenneth J. Ellis, PH.D.'s license?
NPPES lists Washington license number PY00003392, as entered by the provider. Search the Washington board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.