Dr Jordan Michael Ellis, PHD in Jb Andrews, MD

Dr Jordan Michael Ellis, PHD is a Psychologist - Clinical based in Jb Andrews, Maryland. Dr Jordan Michael Ellis is licensed to practice in Virginia (license number 0810007310) and his current practice location is 1060 W Perimeter Rd, Jb Andrews, Maryland. He can be reached at his office (for appointments etc.) via phone at (240) 857-7186.

NPI number for Dr Jordan Michael Ellis is 1972167161 and his current mailing address is 1100 Wilford Hall Loop, Bldg. 4554, 59 Mdw/gme, Jbsa Lackland, Jbsa Lackland, Texas. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1972167161.

Contact Information

	Dr Jordan Michael Ellis, PHD
	1060 W Perimeter Rd, Jb Andrews, MD 20762-6602
	(240) 857-7186
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Jordan Michael Ellis
Gender	Male
Speciality	Psychologist - Clinical
Location	1060 W Perimeter Rd, Jb Andrews, Maryland
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1972167161
Provider Enumeration Date: 04/24/2019
Last Update Date: 06/16/2025

Medical Identifiers

Medical identifiers for Dr Jordan Michael Ellis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1972167161	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TH0004X	Psychologist - Health	(* (Not Available))	Secondary
103TC0700X	Psychologist - Clinical	0810007310 (Virginia)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Jordan Michael Ellis is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Jordan Michael Ellis, PHD 1100 Wilford Hall Loop, Bldg. 4554, 59 Mdw/gme, Jbsa Lackland, Jbsa Lackland, TX 78236 Ph: () -	Dr Jordan Michael Ellis, PHD 1060 W Perimeter Rd, Jb Andrews, MD 20762-6602 Ph: (240) 857-7186

Reviews and Comments

Psychologist in Jb Andrews, MD

Mikal A Rasheed, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1050 W Perimeter Rd, Jb Andrews, MD 20762 Phone: 240-857-7186
Sonia Noemi Pons, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1060 W Perimeter Rd, Jb Andrews, MD 20762 Phone: 240-857-7186
Dr. Fernanda Pinheiro De Oliveira, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1191 Menoher Dr, Jb Andrews, MD 20762 Phone: 240-857-9680
Keara Washington, Psychologist Medicare: Medicare Enrolled Practice Location: 1051 W Perimeter Rd Bldg 1060, Jb Andrews, MD 20762 Phone: 240-857-7186
Dr. Heather Tropiano, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1050 W Perimeter Rd, Jb Andrews, MD 20762 Phone: 240-857-7186
Dr. Caitlin Fissette-eckert, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1060 W Perimeter Rd Ste 3k43, Jb Andrews, MD 20762 Phone: 240-857-9680
Esther Solano, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1060 W Perimeter Rd, Jb Andrews, MD 20762 Phone: 786-316-1034

Dr Jordan Michael Ellis, PHD - Psychologist in Jb Andrews, MD