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

Dr. Mary Anne Ellis, JD, PSYD

Individual provider Clinical Child & Adolescent Psychologist · NPI 1972813467

Dr. Mary Anne Ellis, JD, PSYD is a Clinical Child & Adolescent Psychologist in Vienna, Virginia. Licensed in Virginia. Registered with an NPI since 2010.

Licensed in
VA
In the registry since
2010
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

133 Park St NE
Vienna, VA 22180-4602
Phone: (703) 281-2657
Fax: (703) 242-0014
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 0810004323 (VA)

Record details

NPI number1972813467
Entity typeIndividual (Type 1)
GenderFemale
Credentials JD , PSYD
Sole proprietorNo
NPI enumeratedOctober 18, 2010
Last updated in NPPESOctober 18, 2010

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