Glenn Thomas Ellis, PHD
NPI 1184712820ActiveIndividual· Psychologist· Columbus, MS
Psychologist (PHD) with Right Track Medical Group, Inc, practicing in Columbus, Mississippi. Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1184712820 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PHD |
| Sole proprietor | No |
| NPI issued | Oct 10, 2006 |
| Last updated in NPPES | Jul 8, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | 105 | MS |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (MS) |
|---|
Education and affiliations
| Graduation year | 1970 |
|---|---|
| Medicare specialty | Clinical Psychologist |
Medical group
- Right Track Medical Group, IncOxford, MS · 26 clinicians
Other Psychologist providers in Columbus
- 1619379740