● Active Type 1 · Individual

Eddie Ellis

Psychologist·Fort Worth, TX· NPI 1841400132 · Enumerated 2007 · 19 years on NPI

Ellis is 1 of 3 psychologist providers in Fort Worth and 1 of 22 in Texas.

NPI age

19 years

Enumerated 2007-05-23

Primary specialty

Psychologist

Plus 3 subspecialties

Licensed in

—

0 states

Status

Active

No deactivations on record

Last NPPES update

2025-09-11

Source: monthly bulk 2026-05

Sole proprietor

Yes

Solo practice on file

How this provider compares

Across 22 active psychologist providers in Texas.

NPI age

19 years

↑ 9 yr above median (10 yr)

State licenses

1 state

4% of peers hold multiple states

Subspecialties

In the 36% of peers with subspecialties

NPI lifetime · 2007 → 2026

2007-05Enumerated in NPPES

2007 2026

Where they practice

Practice location

420 Tierney Rd

Fort Worth, TX 761126324

📞 8175345480fax 8175344748

Mailing address

420 Tierney Rd

Fort Worth, TX 761126324

📞 8175345480fax 8175344748

Specialties

Behavioral Health & Social Service Providers › Psychologist

Psychologist Primary

A psychologist who specializes in geropsychology, which applies the knowledge and methods of psychology to understanding and helping older persons and their families to maintain well-being, overcome problems and achieve maximum...

taxonomy 103TA0700X
Counselor

Definition to come...

taxonomy 101YM0800X
Psychologist

A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose...

taxonomy 103TH0100X
Psychologist

Definition to come...

taxonomy 103TM1800X

Practice context

Part of a multi-provider practice. 6 other active providers share this practice address in NPPES.

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How to verify this provider

Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
Check the state license is currently active.State licensing boards publish current status; NPPES does not.
Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.