DR. DAVID WELFORD ELLIS (NPI# 1053451476) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053451476 |
| Entity Type | Individual |
| Full Name | DR. DAVID WELFORD ELLIS |
| Credential | PH.D. |
| Practice Address |
325 Route 45 Salem NJ 08079-2045 |
| Practice Telephone | 8568780800 |
| Practice Fax Number | 8568780800 |
| Mailing Telephone | 8568780800 |
| Mailing Fax Number | 8568780800 |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 103G00000X | Clinical Neuropsychologist | SI01417 | NJ | Behavioral Health & Social Service Providers |
| X | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
SI01417 | NJ | Behavioral Health & Social Service Providers |
| X | 103TR0400X |
Psychologist Specialization: Rehabilitation |
SI01417 | NJ | Behavioral Health & Social Service Providers |
| X | 103TS0200X |
Psychologist Specialization: School |
SI01417 | NJ | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730726571 | David Ellis | Pharmacist | 22317 57th Ave, Oakland Gardens, NY 11364-2041 | 2019-11-27 |
| 1790349769 | David Ellis | Student in an Organized Health Care Education/Training Program | 20000 N 57th Ave Rm K201, Glendale, AZ 85308-6988 | 2019-04-25 |
| 1609122480 | David Ellis | Chiropractor | 3200 Traders Way Ste C, Winnemucca, NV 89445-3683 | 2012-07-30 |
| 1518265479 | David D Ellis | Counselor | 89 Linwood Rd, Lynn, MA 01905-1639 | 2011-03-02 |
| 1033374285 | David William Ellis | Family Medicine | 4201 Colgate Ave, Dallas, TX 75225-6604 | 2008-07-26 |
| 1487738928 | David Paul Ellis | Anesthesiology | 1226 N Shartel Ave, Suite 300, Oklahoma City, OK 73103 | 2006-10-24 |
| 1184711426 | David A. Ellis | Family Medicine | 2530 Ne Kresky Ave Ste C, Chehalis, WA 98532-2406 | 2006-10-06 |
| 1841397007 | David Chad Ellis | Dentist | 2524 Highway 41 S, Greenbrier, TN 37073-4544 | 2006-09-20 |
| 1386748747 | David Williams Ellis | General Practice | 192 W Center St, Millersburg, PA 17061-1314 | 2006-09-07 |
| 1366452252 | David L Ellis | Physical Therapist | 115 S Murchison St, Athens, TX 75751-2662 | 2006-08-09 |
| Street Address |
325 ROUTE 45 |
| City | SALEM |
| State | NJ |
| Zip Code | 08079-2045 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366005829 | Fresenius Medical Care Salem, LLC | Clinic/Center | 5 New Jersey Route 45, Salem, NJ 08079 | 2019-04-19 |
| 1750750071 | The Arc of Salem County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 150 Salem Woodstown Rd, Salem, NJ 08079 | 2015-09-16 |
| 1730347964 | Josephine M Santiago | Registered Nurse | 310 Woodstown Rd., Salem, NJ 08079 | 2008-05-23 |
| 1033394895 | Samia Fatima Mian | Internal Medicine | 5 Route 45 Ste 101, Mannington, NJ 08079 | 2007-12-28 |
| 1619165891 | Fouad K. Michail | Ophthalmology | 330 Salem Woodstown Rd Rt 45, Suite 5, Salem, NJ 08079 | 2007-10-12 |
| 1205058567 | Maryville, Inc. | Clinic/Center | 567 Salem-quinton Rd, Salem, NJ 08079 | 2007-05-03 |
| 1649399486 | Womens Health Providers LLC | Clinic/Center | 330 Salem Woodstown Road, Suite#6, Salem, NJ 08079 | 2007-03-29 |
| 1346378213 | Cooper Pediatrics | Pediatrics | 330 Woodstown Road., Medical Arts Bldg 7, Salem, NJ 08079 | 2007-03-01 |
| 1932256278 | The Surgery Center of Salem County LLC | Clinic/Center | 336 Woodstown Rd., Salem, NJ 08079 | 2007-01-05 |
| 1285725713 | The Surgery Center of Salem County LLC | Clinic/Center | 336 Woodstown Rd, Salem, NJ 08079 | 2006-09-28 |
| Find all providers in zip 08079 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386857506 | David Matthew Freed | Clinical Neuropsychologist | 1180 Cross St Se, Salem, OR 97302-2924 | 2007-05-07 |
| 1750435046 | Lawrence S Fieman | Clinical Neuropsychologist | 4 Dove Ave, Salem, MA 01970-2944 | 2007-01-23 |
| 1346323219 | Megan Nicoloff | Clinical Neuropsychologist | 161 High St Se, Suite 206 C, Salem, OR 97301-3660 | 2006-10-23 |
| 1336187533 | Robert Sedgwick | Clinical Neuropsychologist | 48 Bridge St, Salem, MA 01970-4127 | 2006-06-02 |
| 1962990796 | Kathleen Teresa Rhyner | Clinical Neuropsychologist | 1970 Roanoke Blvd, Salem, VA 24153-6404 | 2018-04-26 |
| 1164888566 | Neena Cassell | Clinical Neuropsychologist | 1970 Roanoke Blvd, Bldg 11 Room 120f, Salem, VA 24153-6404 | 2016-01-14 |
| 1932580933 | Nathaniel Deyoung | Clinical Neuropsychologist | 1970 Roanoke Blvd, Mhsl 116b, Salem, VA 24153-6404 | 2015-06-15 |
| 1487042230 | Tracee Francis | Clinical Neuropsychologist | 57 Highland Ave, Salem, MA 01970-2141 | 2015-01-02 |
| 1740606862 | Peter Matthew Daly | Clinical Neuropsychologist | 57 Highland Ave, Salem, MA 01970-2141 | 2014-03-13 |
| 1275867921 | Ryan Stephen Fielding | Clinical Neuropsychologist | 57 Highland Ave, Salem, MA 01970-2141 | 2009-09-29 |
| Find all providers in SALEM | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.