Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1699062711 Individual Practitioner Female Practitioner

Dr. Stacy Lynn Ellis , PsyD

Psychologist • Vancouver, WA

Professional Overview & Biography Verified Profile Summary

Dr. Stacy Ellis, PsyD is a registered healthcare professional specializing in Psychologist in Vancouver, WA. Practice services are available at 2621 NE 134TH ST STE 340 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2621 Ne 134th St Ste 340

Vancouver, WA 986863036

Telephone 3604500140
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Vancouver, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 19.5 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
46 Specialists

Practicing in Vancouver, WA (1137 Statewide)

Telehealth Adoption Rate
15.2% 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 PY60509345

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

5 Associated Practitioners
Dr. Jill Fancher , PhD

Psychologist - Health

NPI 1205083938

Doctor of Philosophy (Ph.D.)

NPI 1326353863

Master of Social Work

Dr. Neil Smith , PsyD

Psychologist - Clinical

NPI 1326473935

Doctor of Psychology (Psy.D.)

Ellen Standefer , LICSW, LCSW

Social Worker - Clinical

NPI 1679008163

Licensed Independent Clinical Social Worker, Licensed Clinical Social Worker

Dr. Dani Nierenberg , PhD

Psychologist - Clinical

NPI 1760604631

Doctor of Philosophy (Ph.D.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active August 17, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location August 17, 2015

Registered at 2621 NE 134TH ST STE 340, VANCOUVER, WA 986863036 (Tel: 3604500140)

📍
Updated Business Mailing Address August 17, 2015

Registered at 2204 SE 12TH AVE APT C, PORTLAND, OR 972145338 (Tel: 3109915923)

👤
Provider Name / Credentials Updated August 17, 2015

Recorded as STACY ELLIS, PSYD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 17, 2015

Psychologist (License #PY60509345 in WA)

🟢
Initial NPI Registration & Enumeration July 10, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Stacy Ellis. Be the first to share your experience!

Sign in to leave a review for Dr. Stacy Ellis

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1699062711
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 10, 2011
Last Update: August 17, 2015
Sole Proprietor: Yes

Mailing Address

2204 Se 12th Ave Apt C

Portland, OR 972145338

Phone: 3109915923

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

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.