Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Carl R. Ellis

Clinical Child & Adolescent Psychologist in Virginia Beach, VA · enumerated 2006 · authorized official Carl Ellis, Owner.

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

National Provider Identifier

1114002581

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Registry record

Entity type Organization (Type 2)

Legal business name Carl R. Ellis

Other name <Unavail>

Practice address 1020 Independence Blvd, Suite 204, Virginia Beach, VA, 23455

Phone (757) 640-1882

Fax (757) 640-0253

Enumeration date Oct 26, 2006

Last updated in NPPES Sep 4, 2012

Taxonomy & classification

103TC2200X Clinical Child & Adolescent Psychologist Behavioral Health & Social Service Providers · License 0810001913 (VA) Primary

Authorized official

Name Carl Ellis

Title Owner

Phone (757) 640-1882

Other identifiers

Identifier	Type	State	Issuer
260026000	Other	VA	OPTIMA HEALTH
007700580	Medicaid	VA	-

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

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2012-09-04. Verify at npiregistry.cms.hhs.gov.

Where is Carl R. Ellis located?

The practice location on file with NPPES is in Virginia Beach, VA.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2012-09-04.