Stacy Lynn Ellis, PSYD - Psychologist in Vancouver, WA

Stacy Lynn Ellis, PSYD is a Psychologist based in Vancouver, Washington. Stacy Lynn Ellis is licensed to practice in Washington (license number PY60509345) and her current practice location is 2621 Ne 134th St Ste 340, Vancouver, Washington. She can be reached at her office (for appointments etc.) via phone at (360) 450-0140.

NPI number for Stacy Lynn Ellis is 1699062711 and her current mailing address is 2204 Se 12th Ave Apt C, Portland, Oregon. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1699062711.

Contact Information

Stacy Lynn Ellis, PSYD
2621 Ne 134th St Ste 340,
Vancouver, WA 98686-3036
(360) 450-0140
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameStacy Lynn Ellis
GenderFemale
SpecialityPsychologist
Location2621 Ne 134th St Ste 340, Vancouver, Washington
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1699062711
  • Provider Enumeration Date: 07/10/2011
  • Last Update Date: 08/17/2015

Medical Identifiers

Medical identifiers for Stacy Lynn Ellis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1699062711NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103T00000XPsychologist PY60509345 (Washington)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. Stacy Lynn 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 AddressPractice Location Address
Stacy Lynn Ellis, PSYD
2204 Se 12th Ave Apt C,
Portland, OR 97214-5338

Ph: (310) 991-5923
Stacy Lynn Ellis, PSYD
2621 Ne 134th St Ste 340,
Vancouver, WA 98686-3036

Ph: (360) 450-0140

Reviews and Comments


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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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