Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JORDAN MICHAEL ELLIS, PHD
ActiveDR. JORDAN MICHAEL ELLIS, PHD is a Clinical Psychologist healthcare provider located in JB ANDREWS, Maryland. NPI 1972167161 is currently active in the NPPES registry. Verify at CMS.
Clinical Psychologist · JB ANDREWS, MD
Registration Details
- NPI Number
- 1972167161
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 24, 2019 (7.2980181399546 yrs)
- Last Updated
- Jun 16, 2025
- License
-
0810007310 (VA)
Practice Information
- Address
-
1060 W PERIMETER RDJB ANDREWS, MD, 207626602Browse MD providers · Browse ZIP 20762
- Phone
- 2408577186
- Primary Specialty
-
Clinical Psychologist
103TC0700X
- Additional Specialty
- Clinical Psychologist
Other Clinical Psychologist Providers in JB ANDREWS, MD
| Name | Credential | NPI |
|---|---|---|
| HEIDI DANIELS | PH.D. | 1851466486 |
| SONIA NOEMI PONS | PSY.D. | 1235294851 |
| JENNIFER CASO TOLLIVER | PSY.D. | 1225456932 |
| DR. CAITLIN FISSETTE-ECKERT | PH.D. | 1649648510 |
| CHRISTIAN NICOLE RECORD-JACKSON | PSY 0810008030 | 1407344518 |
| DR. SANDRA CRISTINA PINEL-LOPEZ | PSY.D | 1932717188 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.