Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Carl R. Ellis

Organization Clinical Child & Adolescent Psychologist · NPI 1114002581

Carl R. Ellis is a Clinical Child & Adolescent Psychologist in Virginia Beach, Virginia. Licensed in Virginia. Registered with an NPI since 2006.

Licensed in
VA
In the registry since
2006

Practice location Address checks out

1020 Independence Blvd Ste 204
Virginia Beach, VA 23455-5500
Phone: (757) 640-1882
Fax: (757) 640-0253
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Child & Adolescent Psychologist (primary) Taxonomy 103TC2200X · Licence 0810001913 (VA)

Record details

NPI number1114002581
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Carl Ellis — Owner · (757) 640-1882
Other names Spectrum Psychological Services
NPI enumeratedOctober 26, 2006
Last updated in NPPESSeptember 4, 2012
Mailing address1020 Independence Blvd, Suite 204, Virginia Beach, VA 23455-5500

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