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MR. DEREK ELLIS
NPI 1720372857
Counselor - Addiction (Substance Use Disorder) in New York, NY

Active since June 07, 2011
311 W 35TH ST, NEW YORK, NY 10001(212) 736-5900(212) 645-1441 Get Directions Write a Review

NPPES record last updated: June 7, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mr. Derek Ellis NPPES

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

MR. DEREK ELLIS (NPI 1720372857) is an individual addiction (substance use disorder) provider in New York, New York and active in the NPI registry since June 2011.

NPPES Registry Identity

NPI1720372857
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMR. DEREK ELLIS
Location Address311 W 35TH STNew York, NY 10001-1701
Mailing Address311 W 35th StNew York, NY 10001-1701 · (212) 736-5900 · Fax (212) 645-1441
Phone(212) 736-5900
Fax(212) 645-1441
Sole ProprietorYes
Enumeration DateJune 7, 2011
✔ NPI 1720372857 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
311 W 35TH ST, New York, NY 10001
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Other Identifiers 1

Medicaid609805993NY

Other Providers at the Same Location NPPES 20

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

DR. PHILIP ANTHONY GIANELLI M.D.
Psychiatry & Neurology (Addiction Medicine)
311 W 35TH ST, WEST MIDTOWN MEDICAL GROUP
NEW YORK, NY 10001
New York County (212) 736-5900
DR. STEVEN ISAIAH RAPAPORT MD
Internal Medicine
311 W 35TH ST
NEW YORK, NY 10001
New York County (212) 736-5900
WEST MIDTOWN MEDICAL GROUP
Health Maintenance Organization
311 W 35TH ST
NEW YORK, NY 10001
New York County (212) 736-5900
MR. DANIEL O. PANIAGUA P.A.
Physician Assistant (Medical)
311 W 35TH ST, 5TH FLOOR
NEW YORK, NY 10001
New York County (212) 736-5900
MS. KELLY ANNE SHANLEY LMHC, CASAC, MA
Counselor (Mental Health)
311 W 35TH ST
NEW YORK, NY 10001
New York County (212) 736-5900
MR. ROBERT CONDON CASAC
Counselor (Addiction (Substance Use Disorder))
311 W 35TH ST
NEW YORK, NY 10001
New York County (212) 736-5900
MR. OSCAR SANDERS CASAC
Counselor (Addiction (Substance Use Disorder))
311 W 35TH ST
NEW YORK, NY 10001
New York County (212) 736-5900
MR. ALTON EDUARDO CHINNERY CASAC
Counselor (Addiction (Substance Use Disorder))
311 W 35TH ST
NEW YORK, NY 10001
New York County (212) 736-5900

Frequently Asked Questions

What is Derek Ellis's NPI number?

The NPI number assigned to this healthcare provider is 1720372857, enumerated as an "individual" on June 07, 2011.

Where is the provider located?

The provider is located at 311 W 35TH ST NEW YORK, NY 10001 and the phone number is (212) 736-5900.

What is the provider's specialty?

Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).

What insurance does Derek Ellis accept?

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.