Dr. Paul Russell Ellison
PSYD, LP | Clinical Psychologist | 16+ years Exp
4027 County Road 25, St Louis Park
Minnesota, 55416
612-925-6033 612-925-8496
Maps & DirectionsDr. Paul Russell Ellison is a St Louis Park, Minnesota based psychologist with 16 years of experience in Clinical Psychology. He completed his graduation in 2009. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Paul Russell Ellison is LP6366 for Clinical Psychology in Minnesota. His current practice location is 4027 County Road 25, St Louis Park. Patients can reach him at 612-925-6033 or can fax him at 612-925-8496. Dr. Paul Russell Ellison is PSYD, LP in Clinical Psychology and his NPI number (Unique professional ID assigned by NPPES) is 1326374117.
Dr. Paul Russell Ellison is a mental health professional with highly specialized training in the diagnosis and psychological treatment of mental, behavioral and emotional illnesses, including obsessive-compulsive disorder (OCD). His main focus is on diagnosing and treating mental, emotional, and behavioral disorders. Some of the common disorders that he can treat are learning disabilities, substance abuse, depression, anxiety, and eating disorders.
Complete Profile:
Dr. Paul Russell Ellison speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Dr. Paul Russell Ellison |
| Specialization: | Clinical Psychology |
| Gender: | Male |
| Credentials: | PSYD, LP |
| Experience: | 16+ years |
| Medical School Attended: | Other |
| Graduation Year: | 2009 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 4027 County Road 25, St Louis Park,
Minnesota, 55416 |
| Phone: | 612-925-6033 |
| Fax: | 612-925-8496 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 0749522563 |
| Enrollment ID: | I20190426001970 |
| NPI Number: | 1326374117 |
| NPI Enumeration Date: | 28 Oct, 2009 |
| NPI Last Update On: | 18 Mar, 2019 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Paul Russell Ellison are as mentioned below.
| License Number | Specialization | State | Status | |
| LP6366 | Clinical Psychology | Minnesota | Primary | |
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Dr. Paul Russell Ellison is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Associated Clinic Of Psychology Inc (0749171320) | 105 |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Dr. Paul Russell Ellison
4240 Park Glen Rd,
St Louis Park, Minnesota |
| Zip: | 55416-5427 |
| Phone Number: | 612-925-6033 |
| Fax Number: | 612-925-8496 |
Patients can reach Dr. Paul Russell Ellison at
4027 County Road 25, St Louis Park, Minnesota or can
call to book an appointment on 612-925-6033.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.