Individual provider · Type 1 NPI

Jordan Michael Ellis, PhD

Clinical Psychologist · Jb Andrews, MD

NPI number 1972167161 Active

Practice location

1060 W Perimeter Rd
Jb Andrews, MD 20762-6602

Call (240) 857-7186 Map

Mailing address

1100 Wilford Hall Loop, Bldg. 4554, 59 Mdw/gme, Jbsa Lackland
Jbsa Lackland, TX 78236

Specialties and licenses

TaxonomyCodeLicense
Health Psychologist 103TH0004XNone listed
Clinical Psychologist Primary 103TC0700X0810007310 (VA)

Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

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About NPI 1972167161

Jordan Michael Ellis, PhD's National Provider Identifier is 1972167161, issued on Apr 24, 2019. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Jb Andrews, MD. The record was last updated on Jun 16, 2025.