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

Dr. Carl Richard Ellis, EDD

Individual provider Clinical Child & Adolescent Psychologist · NPI 1821173519

Dr. Carl Richard Ellis, EDD is a Clinical Child & Adolescent Psychologist in Norfolk, Virginia. Practices as a sole proprietor. Licensed in Virginia.

Licensed in
VA
In the registry since
2006
What do these letters mean?
EDD — Doctor of Education
A doctorate in education.

See every abbreviation used in this directory →

Practice location Address checks out

4101 Granby St Ste 301
Norfolk, VA 23504-1117
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 number1821173519
Entity typeIndividual (Type 1)
GenderMale
Credentials EDD
Sole proprietorYes
NPI enumeratedOctober 25, 2006
Last updated in NPPESJune 12, 2008

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