Dr Ron Ray Ellis, PH D - Psychologist in Walnut Creek, CA

Dr Ron Ray Ellis, PH D is a Psychologist based in Walnut Creek, California. Dr Ron Ray Ellis is licensed to practice in California (license number PSY5702) and his current practice location is 1756 Lacassie Ave, Suite 200, Walnut Creek, California. He can be reached at his office (for appointments etc.) via phone at (925) 943-5700.

NPI number for Dr Ron Ray Ellis is 1063543247 and his current mailing address is 2250 Gladwin Dr, Walnut Creek, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1063543247.

Contact Information

Dr Ron Ray Ellis, PH D
1756 Lacassie Ave, Suite 200,
Walnut Creek, CA 94596-7098
(925) 943-5700
Not Available



Healthcare Provider's Profile

Full NameDr Ron Ray Ellis
GenderMale
SpecialityPsychologist
Location1756 Lacassie Ave, Walnut Creek, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1063543247
  • Provider Enumeration Date: 03/08/2007
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Dr Ron Ray Ellis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063543247NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103T00000XPsychologist PSY5702 (California)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. Dr Ron Ray 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
Dr Ron Ray Ellis, PH D
2250 Gladwin Dr,
Walnut Creek, CA 94596-6349

Ph: (925) 947-2648
Dr Ron Ray Ellis, PH D
1756 Lacassie Ave, Suite 200,
Walnut Creek, CA 94596-7098

Ph: (925) 943-5700

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Psychologist in Walnut Creek, CA

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