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Dr. Robin I Ellis , PsyD

Psychologist β€’ Fort Carson, CO

Active NPI 1255346540 Individual Practitioner Female Practitioner
Practice location in NPPES

1650 Cochrane Cir Unit Meddac
Fort Carson, CO 809134604

Call 7195265433 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1650 Cochrane Cir Unit Meddac

Fort Carson, CO 809134604

Telephone 7195265433

NPI first issued

2006

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Fort Carson and Colorado

14 active clinicians are listed under Psychologist with a practice address in Fort Carson, CO (991 in Colorado).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Fort Carson

0% of these 14 clinicians have the CMS telehealth indicator.

0% of these 14 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-08-08
Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

License # reported to NPPES CA PSY18829

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Psychologist - Clinical

NUCC Taxonomy Code: 103TC0700X

License # reported to NPPES CA PSY18829

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Colorado Division of Professions and Occupations.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

17 listed
NPI 1306419155

Physical Therapist, Doctor of Physical Therapy

Dr. Jordan Bean , DPM

Podiatrist - Foot & Ankle Surgery

NPI 1881180719

Doctor of Podiatric Medicine

Dr. Heather Cassidy , MD

Internal Medicine

NPI 1497983654

Doctor of Medicine (M.D.)

Dr. Kevin Davis , MD

Obstetrics & Gynecology

NPI 1629069141

Doctor of Medicine (M.D.)

Blessing Fitzgerald , LCSW

Social Worker - Clinical

NPI 1053759803

Licensed Clinical Social Worker

NPI 1760985949

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location August 08, 2023

Registered at 1650 COCHRANE CIR UNIT MEDDAC, FORT CARSON, CO 809134604 (Tel: 7195265433)

πŸ“
Updated Business Mailing Address August 08, 2023

Registered at 4025 SCOTCH PINE DR, COLORADO SPRINGS, CO 809204517 (Tel: 8187308491)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 08, 2023

Psychologist (license number reported to NPPES: CA PSY18829)

βœ…
NPI Profile Active September 15, 2012

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) September 15, 2012

Registered at 5655 LINDERO CANYON RD, SUITE 106-5, WESTLAKE VILLAGE, CA 913624016 (Tel: 8188082949)

πŸ“
Business Mailing Address (Initial Record) September 15, 2012

Registered at 123 MERRY OAK LN, WESTLAKE VILLAGE, CA 913614807 (Tel: 8188082949)

πŸ‘€
Provider Name / Credentials (Initial Record) September 15, 2012

Recorded as ROBIN ELLIS, PSY D

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 15, 2012

Psychologist (license number reported to NPPES: CA PSY18829)

🟒
Initial NPI Registration & Enumeration July 29, 2006

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1255346540
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 29, 2006
Last Update: August 08, 2023
Sole Proprietor: Yes

Mailing Address

4025 Scotch Pine Dr

Colorado Springs, CO 809204517

Phone: 8187308491

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.