Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Paul Russell Ellison, PSYD, LP

Individual provider Clinical Psychologist · NPI 1326374117

Dr. Paul Russell Ellison, PSYD, LP is a Clinical Psychologist in St Louis Park, Minnesota. Qualified in 2009, 17 years ago. Practices with Associated Clinic of Psychology Inc, a 137-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
17
Licensed in
MN
In the registry since
2009
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

4027 County Road 25
St Louis Park, MN 55416
Phone: (612) 925-6033
Fax: (612) 925-8496
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1155 Ford Rd Ste B, St Louis Park, MN 55426-1115 — (952) 378-1800

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence LP6366 (MN)

Record details

NPI number1326374117
Entity typeIndividual (Type 1)
GenderMale
Credentials PSYD , LP
Sole proprietorNo
NPI enumeratedOctober 28, 2009
Last updated in NPPESMarch 18, 2019

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Associated Clinic Of Psychology Inc — 137 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in St Louis Park