Individual provider · Type 1 NPI
Tasha J. Ellis, PSY.D.
Psychologist · Minneapolis, MN
Practice location
7801 E Bush Lake Rd Ste 130
Minneapolis, MN 55439-3152
Mailing address
2985 Centre Pointe Dr # 230
Roseville, MN 55113-1105
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist Primary | 103T00000X | LP6620 (MN) |
| Clinical Psychologist | 103TC0700X | LP6620 (MN) |
Psychologist: 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 adjustmen…
2 other providers at this address
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About NPI 1487933859
Tasha J. Ellis, PSY.D.'s National Provider Identifier is 1487933859, issued on Aug 16, 2011. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Minneapolis, MN. The record was last updated on Apr 28, 2026.