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

Jennifer Ellis, EDS, NCSP

Individual provider School Psychologist · NPI 1790502425

Jennifer Ellis, EDS, NCSP is a School Psychologist in Fort Wayne, Indiana. Licensed in Indiana. Registered with an NPI since 2024.

Licensed in
IN
In the registry since
2024

Practice location Address checks out

1515 S Scott Rd
Fort Wayne, IN 46814-9399
Phone: (260) 431-0728
Show map & directions

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

Specialties & licences

School Psychologist (primary) Taxonomy 103TS0200X · Licence 10072965 (IN)

Record details

NPI number1790502425
Entity typeIndividual (Type 1)
GenderFemale
Credentials EDS , NCSP
Sole proprietorNo
NPI enumeratedSeptember 24, 2024
Last updated in NPPESSeptember 24, 2024
Certification dateSeptember 24, 2024

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