Susan G. Ellis, PH.D., P.A.
NPI 1801125869ActiveOrganization· Psychologist, Clinical· Largo, FL
Psychologist, Clinical in Largo, Florida, registered in NPPES in December 2009. The authorized official on file is Susan G. Ellis, PH.D., President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1801125869 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 21, 2009 |
| Last updated in NPPES | Dec 21, 2009 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | PY2173 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (FL) |
|---|
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