Dr. Theodore Jacob Ellenhorn
PHD | Clinical Psychologist | 36+ years Exp
17 Kellogg Ave, Ste 3, Amherst
Massachusetts, 01002-2150
413-256-3075 Maps & DirectionsDr. Theodore Jacob Ellenhorn is a Amherst, Massachusetts based psychologist with 36 years of experience in Clinical Psychology. He completed his graduation in 1989. 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. Theodore Jacob Ellenhorn is 5069 for Clinical Psychology in Massachusetts. His current practice location is 17 Kellogg Ave, Ste 3, Amherst. Patients can reach him at 413-256-3075. Dr. Theodore Jacob Ellenhorn is PHD in Clinical Psychology and his NPI number (Unique professional ID assigned by NPPES) is 1609911544.
Dr. Theodore Jacob Ellenhorn 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. Theodore Jacob Ellenhorn 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. Theodore Jacob Ellenhorn |
| Specialization: | Clinical Psychology |
| Gender: | Male |
| Credentials: | PHD |
| Experience: | 36+ years |
| Medical School Attended: | Other |
| Graduation Year: | 1989 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 17 Kellogg Ave, Ste 3, Amherst, Massachusetts, 01002-2150 |
| Phone: | 413-256-3075 |
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: | 0648212845 |
| Enrollment ID: | I20050527000306 |
| NPI Number: | 1609911544 |
| NPI Enumeration Date: | 20 Feb, 2007 |
| NPI Last Update On: | 25 Feb, 2020 |
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. Theodore Jacob Ellenhorn are as mentioned below.
| License Number | Specialization | State | Status | |
| 5069 | Clinical Psychology | Massachusetts | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Theodore Jacob Ellenhorn such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| W04790 | Other | Massachusetts | BCBS |
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. Theodore Jacob Ellenhorn 79 South Pleasant Street, Room 302 Amherst, Massachusetts |
| Zip: | 01002 |
| Phone Number: | 413-256-3075 |
Patients can reach Dr. Theodore Jacob Ellenhorn at
17 Kellogg Ave, Ste 3, Amherst, Massachusetts or can
call to book an appointment on 413-256-3075.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.