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

Dr. Gregory Timothy Ellermann, PHD

Individual provider Psychologist · NPI 1801991195

Dr. Gregory Timothy Ellermann, PHD is a Psychologist in Leavenworth, Kansas. Licensed in Kansas and Missouri. Registered with an NPI since 2006.

Licensed in
KS, MO
In the registry since
2006
Specialties on file
2
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

3515 S 4th St Professional Association
Leavenworth, KS 66048
Phone: (913) 651-8415
Fax: (913) 772-8580
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 860 (KS)
Psychologist Taxonomy 103T00000X · Licence 01582 (MO)

Record details

NPI number1801991195
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorNo
NPI enumeratedSeptember 13, 2006
Last updated in NPPESOctober 3, 2008
Mailing address21 East 55th St, Kansas City, MO 64113

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