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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: August 23, 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.

WEST MIDTOWN MEDICAL GROUP
Clinic/Center (Methadone)
311 W 35TH ST
NEW YORK, NY 10001
New York County (212) 736-5900
MS. CHERYL ANN BATTLE CASAC-T
Counselor (Addiction (Substance Use Disorder))
311 W 35TH ST
NEW YORK, NY 10001
New York County (212) 736-5900
MS. LUCY FILS-AIME CASAC-T
Counselor (Addiction (Substance Use Disorder))
311 W 35TH ST
NEW YORK, NY 10001
New York County (212) 736-5900
ANDRE MCCLEARY 32522
Counselor (Addiction (Substance Use Disorder))
311 W 35TH ST
NEW YORK, NY 10001
New York County (212) 736-5900
MRS. MARLENE MICHEL LPN
Licensed Practical Nurse
311 W 35TH ST
NEW YORK, NY 10001
New York County (212) 736-5900
MR. DORIAN COLVIN CASAC-T
Counselor (Addiction (Substance Use Disorder))
311 W 35TH ST
NEW YORK, NY 10001
New York County (212) 736-5900
PAMELA THERESA CUNNINGHAM
Counselor (Addiction (Substance Use Disorder))
311 W 35TH ST
NEW YORK, NY 10001
New York County (212) 736-5900
BRAWNY RAY REYES CASAC T
Counselor (Addiction (Substance Use Disorder))
311 W 35TH ST
NEW YORK, NY 10001
New York County (212) 736-5900

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 Derek Ellis's NPI number?

The NPI number for Derek Ellis is 1720372857. It was assigned to this individual provider in the NPPES registry on June 7, 2011.

Where is Derek Ellis located?

Derek Ellis practices at 311 W 35th St, New York, NY 10001. The listed phone number is (212) 736-5900.

What is Derek 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 Derek Ellis was last updated on June 7, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.