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

Dr. Jordan Michael Ellis, PHD

Individual provider Health Psychologist · NPI 1972167161

Dr. Jordan Michael Ellis, PHD is a Health Psychologist in Jb Andrews, Maryland. Licensed in Virginia. Registered with an NPI since 2019.

Licensed in
VA
In the registry since
2019
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

1060 W Perimeter Rd
Jb Andrews, MD 20762-6602
Phone: (240) 857-7186
Show map & directions

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

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 0810007310 (VA)
Health Psychologist Taxonomy 103TH0004X

Record details

NPI number1972167161
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorNo
NPI enumeratedApril 24, 2019
Last updated in NPPESJune 16, 2025
Certification dateJune 16, 2025
Mailing address1100 Wilford Hall Loop, Bldg. 4554, 59 Mdw/Gme, Jbsa Lackland, Jbsa Lackland, TX 78236

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