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Deactivated NPI 1780809632 Deactivated / Inactive NPI Female Practitioner

Dr. Beatrice Ellis , PhD

Psychologist • Seattle, WA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Beatrice Ellis has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 16, 2007
NPI Deactivation Date April 10, 2025
Total Practice Duration ~18 Years of Practice (2007 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. Beatrice Ellis, PhD was a registered Psychologist practicing in Seattle, WA. Throughout an active medical career spanning 18 years, Dr. Ellis provided care at the practice location at 823 NE 65TH ST until profile deactivation on 2025-04-10.

Practice Location & Contact Primary Location

Practice Address

823 Ne 65th St

Seattle, WA 981155539

Telephone 2063247954
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Seattle, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 20.5 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
322 Specialists

Practicing in Seattle, WA (1137 Statewide)

Telehealth Adoption Rate
6.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License WA 1517

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 adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners
Isadora Wong , MA, LMHC

Counselor - Mental Health

NPI 1306113485

Master of Arts, Licensed Mental Health Counselor

Michael Samsel , LMHC

Counselor - Mental Health

NPI 1346459344

Licensed Mental Health Counselor

Jane Ganas Long , MA

Counselor - Mental Health

NPI 1396810461

Master of Arts

Hiltrud Verdier , DIPL-PSYCH, LMHC

Counselor - Mental Health

NPI 1609922582

DIPLPSYCH, Licensed Mental Health Counselor

Dianne Grob , LMHC

Counselor - Mental Health

NPI 1669528063

Licensed Mental Health Counselor

Dr. Mary Wieneke , PhD

Psychologist - Clinical

NPI 1891824611

Doctor of Philosophy (Ph.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
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NPI Profile Deactivated April 10, 2025

Record deactivated on April 10, 2025

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Updated Practice Location September 27, 2019

Registered at 10740 MERIDIAN AVE N, STE 110, SEATTLE, WA 981339010 (Tel: 2063247954)

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Updated Business Mailing Address September 27, 2019

Registered at 10740 MERIDIAN AVE N, STE 110, SEATTLE, WA 981339010 (Tel: 2063247954)

NPI Profile Active July 16, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 16, 2007

Registered at 823 NE 65TH ST, SEATTLE, WA 981155539 (Tel: 2063247954)

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Updated Business Mailing Address July 16, 2007

Registered at 823 NE 65TH ST, SEATTLE, WA 981155539 (Tel: 2063247954)

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Provider Name / Credentials Updated July 16, 2007

Recorded as BEATRICE ELLIS, PH.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 16, 2007

Psychologist (License #1517 in WA)

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Initial NPI Registration & Enumeration April 16, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1780809632
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 16, 2007
Last Update: July 16, 2007
Deactivation Date: April 10, 2025

Mailing Address

823 Ne 65th St

Seattle, WA 981155539

Phone: 2063247954

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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