Dr. Tasha J Ellis, Psy.D.
Psychologist in Minneapolis, MN. Individual provider (NPI-1).
NPI number1487933859
StatusActive
Last updated in NPPESApr 28, 2026
Details
- NPI
- 1487933859
- Entity type
- Individual (NPI-1)
- Name
- Dr. Tasha J Ellis
- Credential
- Psy.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 16, 2011
- Certification date
- Apr 28, 2026
- Last updated
- Apr 28, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103T00000X | Psychologist | LP6620 | MN | Yes |
| 103TC0700X | Psychologist, Clinical | LP6620 | MN |
Practice location
7801 E Bush Lake Rd Ste 130Minneapolis, MN 55439-3152
Phone 763-244-4900
Mailing address
2985 Centre Pointe Dr # 230Roseville, MN 55113-1105
Phone 310-390-6612
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