Individual provider

David Ellis, PH.D.

School Psychologist Clinical Neuropsychologist Clinical Child & Adolescent Psychologist Medicare enrolled

David Ellis, PH.D. is a School Psychologist in Salem, NJ, registered under NPI 1053451476. This provider registers 4 separate taxonomy codes, which usually means they practise across more than one recognised specialty. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.

Getting there

The practice address on file is 325 ROUTE 45, Salem, NJ 08079. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

325 ROUTE 45, Salem, NJ 08079 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
SI01417 NJ School Psychologist primary
SI01417 NJ Clinical Neuropsychologist
SI01417 NJ Clinical Child & Adolescent Psychologist
SI01417 NJ Rehabilitation Psychologist

This provider holds licence SI01417 issued in NJ. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Clinical Psychologist
PAC ID
7517953748
Enrollment ID
I20040422001535

Medicare enrolment is recorded as approved under the provider type Practitioner - Clinical Psychologist. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What School covers

A psychologist whose specialty is concerned with the science and practice of psychology with children, youth, families; learners of all ages; and the schooling process. The basic education and training of school psychologists prepares them to provide a range of psychological diagnosis, assessment, intervention, prevention, health promotion, and program development and evaluation services with a special focus on the developmental processes of children and youth within the context of schools, families and other systems. School psychologists are prepared to intervene at the individual and system level, and develop, implement, and evaluate preventive programs. In these efforts, they conduct ecologically valid assessments and intervene to promote positive learning environments within which children and youth from diverse backgrounds to ensure that all have equal access to effective educational and psychological services that promote healthy development NUCC Health Care Provider Taxonomy, code 103TS0200X
Behavioral Health & Social Service Providers Psychologist School

All registered taxonomy codes

This provider registers 4 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
103TS0200X School Psychologist School SI01417 NJ primary
103G00000X Clinical Neuropsychologist SI01417 NJ
103TC2200X Clinical Child & Adolescent Psychologist Clinical Child & Adolescent SI01417 NJ
103TR0400X Rehabilitation Psychologist Rehabilitation SI01417 NJ

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1053451476 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateFeb 7, 2007
Last updatedSep 11, 2025
StatusActive
Sole proprietorYes
CredentialPH.D.
Practice address 325 ROUTE 45
Salem, NJ 08079
(856) 878-0800
Fax (856) 878-0800
This record was updated on Sep 11, 2025, which is recent enough that the contact details are likely still accurate.

Number check

1053451476 passes the NPI check digit test The final digit 6 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 0 5 3 4 5 1 4 7
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 0 1 3 8 5 2 4 5

Sum = 54 · next multiple of 10 = 60 · check digit = 6 · actual last digit = 6

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1053451476?
NPI 1053451476 is the National Provider Identifier assigned to David Ellis, PH.D. in Salem, NJ. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does School cover?
A psychologist whose specialty is concerned with the science and practice of psychology with children, youth, families; learners of all ages; and the schooling process. The basic education and training of school psychologists prepares them to provide a range of psychological diagnosis, assessment, intervention…
How do I contact David Ellis, PH.D.?
The phone number on file with NPPES is (856) 878-0800, last updated Sep 11, 2025. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does David Ellis, PH.D. accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1053451476 a valid number?
Yes. 1053451476 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.