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Kelly A. Ellis

Clinical Social Worker in Palm Desert, CA · enumerated 2015 · authorized official Kelly Ellis, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1053793216

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Registry record

Entity type Organization (Type 2)
Legal business name Kelly A. Ellis
Other name <Unavail>
Practice address 39760 Black Mesa Ln, Palm Desert, CA, 92260
Phone (760) 832-4904
Enumeration date Jun 24, 2015
Last updated in NPPES Aug 1, 2023

Taxonomy & classification

1041C0700X Clinical Social Worker Behavioral Health & Social Service Providers · License 16686 (CA) Primary

Authorized official

Name Kelly Ellis
Title Owner
Phone (760) 832-4904

Other identifiers

Identifier Type State Issuer
ZZZ28136Z Other CA MEDICARE PTAN

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Kelly A. Ellis?
The NPI for Kelly A. Ellis is 1053793216, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Kelly A. Ellis?
NPPES lists Kelly Ellis (Owner) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-08-01.