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

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