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

Individual provider Clinical Psychologist · NPI 1932145729

Dr. Brent Michael Ellens, PSYD is a Clinical Psychologist in Holland, Michigan. Qualified in 2001, 25 years ago. Works from 2 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
25
Licensed in
MI
In the registry since
2006
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

720 E 8th St Ste 2
Holland, MI 49423-3079
Phone: (616) 355-0549
Fax: (616) 355-0480
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 300 68th St Se, Grand Rapids, MI 49548-6927 — (616) 455-5000

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 6301011810 (MI)

Record details

NPI number1932145729
Entity typeIndividual (Type 1)
GenderMale
Credentials PSYD
Sole proprietorNo
NPI enumeratedJune 21, 2006
Last updated in NPPESJanuary 7, 2022
Certification dateJanuary 7, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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