MARY ELLIS (PSYD) – Psychologist, NPI 1720594088

MARY ELLIS (PSYD) is a healthcare provider. based in Dayton, Ohio. specializing in Psychologist. They hold the professional credentials PSYD. They hold a License No. 11988 (MA). The NPI Number for MARY ELLIS (PSYD) is 1720594088

Main info

Female
Name
MARY ELLIS (PSYD)
NPI
1720594088
Phone
(937) 775-3458
Address
3640 COLONEL GLENN HWY
Enumeration Date
22 December 2017
Last Update Date
21 June 2023
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:8State licenses:1Digital endpointsOther names

Provider Addresses for MARY ELLIS (PSYD)

  • 3640 COLONEL GLENN HWY

    DAYTON, OH 454350001

    Phone: (937) 775-3458

    Fax: (937) 775-3434

    Type: Mailing

  • 7 DRYDOCK AVE STE 2070

    BOSTON, MA 022102303

    Phone: (857) 203-6461

    Type: Location

  • Southern Boulevard, Kettering, Montgomery County, Ohio, 45439, United States

    KETTERING, OH 454291275

    Phone: (937) 395-8043

    Fax: (937) 395-8139

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 45435)

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Reviews

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Frequently asked questions

Can I use this page to confirm MARY ELLIS (PSYD)'s NPI?
Yes. MARY ELLIS (PSYD) is listed with NPI 1720594088 in the public NPI dataset.
Can I rely on MARY ELLIS (PSYD) being an active provider?
As of the registry snapshot, MARY ELLIS (PSYD) is marked active.
What is MARY ELLIS (PSYD)'s specialty?
The listing groups MARY ELLIS (PSYD) with Psychologist. Clinical services aligned with this taxonomy classification.
Where is MARY ELLIS (PSYD) based?
MARY ELLIS (PSYD) is tied to Dayton, Ohio in the data we show; additional addresses may exist on the full record.
Why does MARY ELLIS (PSYD) have multiple addresses?
3 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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