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MICHAEL MARIO ELLIS
NPI 1609311315
Counselor - Addiction (Substance Use Disorder) in Stockton, CA

Active since January 04, 2017
1222 MONACO CT, #28, STOCKTON, CA 95207(209) 644-6328(209) 644-6308 Get Directions Write a Review

NPPES record last updated: January 4, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Michael Mario Ellis NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHAEL MARIO ELLIS (NPI 1609311315) is an individual addiction (substance use disorder) provider in Stockton, California and active in the NPI registry since January 2017.

NPPES Registry Identity

NPI1609311315
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMICHAEL MARIO ELLIS
Location Address1222 MONACO CT, #28Stockton, CA 95207-6742
Mailing Address1222 Monaco Ct, #28Stockton, CA 95207-6742 · (209) 644-6328 · Fax (209) 644-6308
Phone(209) 644-6328
Fax(209) 644-6308
Sole ProprietorNo
Enumeration DateJanuary 4, 2017
✔ NPI 1609311315 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
1222 MONACO CT, Stockton, CA 95207
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Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANTHONY DIONICIO GUTIERREZ
Counselor (Addiction (Substance Use Disorder))
1222 MONACO CT, #28
STOCKTON, CA 95207
San Joaquin County (209) 644-6328
SOPHIA ARCADIA KHAMJOI
Counselor (Addiction (Substance Use Disorder))
1222 MONACO CT, SUITE 28
STOCKTON, CA 95207
San Joaquin County (209) 644-6328
NANCY ALEJO CAMACHO
Counselor (Addiction (Substance Use Disorder))
1222 MONACO CT, 28
STOCKTON, CA 95207
San Joaquin County (209) 644-6328
CARLOS MENDOZA JR.
Counselor (Addiction (Substance Use Disorder))
1222 MONACO CT, SUITE 28
STOCKTON, CA 95207
San Joaquin County (209) 644-6328

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Ellis's NPI number?

The NPI number for Michael Ellis is 1609311315. It was assigned to this individual provider in the NPPES registry on January 4, 2017.

Where is Michael Ellis located?

Michael Ellis practices at 1222 Monaco Ct #28, Stockton, CA 95207. The listed phone number is (209) 644-6328.

What is Michael Ellis's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Michael Ellis was last updated on January 4, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.