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JACK ELLENBERG MD
NPI 1790879013
Psychiatry & Neurology - Psychiatry in New York, NY

Active since October 03, 2006
239 CENTRAL PARK W, NEW YORK, NY 10024(212) 873-1291(212) 799-1136 Get Directions Write a Review

NPPES record last updated: August 31, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jack Ellenberg Md NPPES

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

JACK ELLENBERG MD (NPI 1790879013) is an individual psychiatry provider in New York, New York, licensed in New York (089526) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1790879013
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameJACK ELLENBERGCredential: MD
Location Address239 CENTRAL PARK WNew York, NY 10024-6038
Mailing Address239 Central Park WNew York, NY 10024-6038 · (212) 873-1291 · Fax (212) 799-1136
Phone(212) 873-1291
Fax(212) 799-1136
Sole ProprietorNo
Enumeration DateOctober 3, 2006
Last NPPES UpdateAugust 31, 2012
✔ NPI 1790879013 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in NY · 089526
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
239 CENTRAL PARK W, New York, NY 10024
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Other Identifiers 2

Medicaid00140496NY
Medicare UPINB15821NY

Other Providers at the Same Location NPPES 6

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

CHARLES BERSHATSKY, PHD, LCSW, PC
Clinic/Center (Mental Health (Including Community Mental Health Center))
239 CENTRAL PARK W, 1AS
NEW YORK, NY 10024
New York County (212) 496-8989
DR. DEENA R HARRIS MD
Psychiatry & Neurology (Psychiatry)
239 CENTRAL PARK W, SUITE 1BW
NY, NY 10024
New York County (212) 496-7826
DR. DAVID A SILVERMAN M.D.
Internal Medicine (Infectious Disease)
239 CENTRAL PARK W, 1A-N
NEW YORK, NY 10024
New York County (212) 496-1929
DR. JULES KERMAN M.D.
Psychiatry & Neurology (Psychiatry)
239 CENTRAL PARK W
NEW YORK, NY 10024
New York County (212) 799-6127
DR. LUCY EMERSON COLLINS M.D.
Psychiatry & Neurology (Psychiatry)
239 CENTRAL PARK W, SUITE 1B-E
NEW YORK, NY 10024
New York County (212) 362-0173
DR. HARRIET E WASHTON MD
Internal Medicine (Infectious Disease)
239 CENTRAL PARK W, 10A
NEW YORK, NY 10024
New York County (212) 580-3837

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 Jack Ellenberg's NPI number?

The NPI number for Jack Ellenberg is 1790879013. It was assigned to this individual provider in the NPPES registry on October 3, 2006.

Where is Jack Ellenberg located?

Jack Ellenberg practices at 239 Central Park W, New York, NY 10024. The listed phone number is (212) 873-1291.

What is Jack Ellenberg's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

When was this NPI record last updated?

The NPPES record for Jack Ellenberg was last updated on August 31, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.