Jo M. Ellison, PHD
NPI 1841532942ActiveIndividual· Psychologist· West Fargo, ND
Psychologist (PHD) in West Fargo, North Dakota, licensed in ND and MN, with an NPI issued in March 2013. Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1841532942 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PHD |
| Sole proprietor | No |
| NPI issued | Mar 27, 2013 |
| Last updated in NPPES | Jan 17, 2024 |
| Certified by provider | Jan 17, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | 494 | ND |
| Psychologist | 103T00000X | LP5980 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (ND) |
|---|
Education and affiliations
| Graduation year | 2012 |
|---|---|
| Medicare specialty | Clinical Psychologist |
| Telehealth | Offers telehealth |
Other Psychologist providers in West Fargo
- 1598442717
- 1821878919
- 1538198759
- 1659300713
- 1376560045
- 1336711068
- 1083056592