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Contact Information

ELLIS PSYCHOLOGICAL SERVICES
1819 SAN ANDRO ST
TORRANCE, CA90501
 Phone: 323-432-0389
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Adolescent and Children Mental Health

261QM0855X
 

Adult Mental Health

261QM0850X
Indicates primary specialty

NPI Profile & details for ELLIS PSYCHOLOGICAL SERVICES

NPI Number 1356916571
LBN Legal business name ELLIS PSYCHOLOGICAL SERVICES
Authorized official TIERRA ELLIS - (PSYCHOLOGIST)
Entity Organization
Organization subpart 1 No
Enumeration date 05/20/2021
Last updated 05/20/2021 - About 5 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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