DAVID D ELLIS (NPI# 1518265479) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518265479 |
| Entity Type | Individual |
| Full Name | DAVID D ELLIS |
| Practice Address |
89 Linwood Rd Lynn MA 01905-1639 |
| Practice Telephone | 7815819515 |
| Practice Fax Number | 7815819515 |
| Mailing Telephone | 7815819515 |
| Mailing Fax Number | 7815819515 |
| Enumeration Date | 2011-03-02 |
| Last Update Date | 2011-03-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 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 |
| 1033374285 | David William Ellis | Family Medicine | 4201 Colgate Ave, Dallas, TX 75225-6604 | 2008-07-26 |
| 1053451476 | David Welford Ellis | Clinical Neuropsychologist | 325 Route 45, Salem, NJ 08079-2045 | 2007-02-07 |
| 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 |
89 LINWOOD RD |
| City | LYNN |
| State | MA |
| Zip Code | 01905-1639 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437783560 | Annie Marie Helmkamp | Nurse Practitioner | Ati Worksite Solutions, Ge Aviation, 1000 Western Avenue, Lynn, MA 01905 | 2020-02-27 |
| 1215419395 | Bridget Depoy | Social Worker | Fallon School, 100 Robinson St., Lynn, MA 01905 | 2018-09-05 |
| 1093294845 | Tina Hoofnagle | Social Worker | 100 Bennett Street, Lynn, MA 01905 | 2018-08-13 |
| 1740768704 | Tamba-kromah Ventures LLC | Non-emergency Medical Transport (VAN) | 29 Dungeon Ave, Lynn, MA 01905 | 2018-08-01 |
| 1275068637 | Gina Hart | Counselor | 29 Pennybrook Rd, Lynn, MA 01905 | 2017-04-24 |
| 1235593773 | Daniel Burke | Physician Assistant | 1000 Western Ave Bldg 44, Lynn, MA 01905 | 2016-04-11 |
| 1366825374 | Humble Care Givers | Technician | 15 River Street Place, Lynn, MA 01905 | 2015-07-08 |
| 1861815649 | Krystle Lee Concepcion | Occupational Therapist | 9 Needhams Landing Road Apt. 401, Lynn, MA 01905 | 2014-01-29 |
| 1134497423 | Rachel Tami Davis | Social Worker | 800 Cummings Ctr Suite 266 T, Beverly, MA 01905 | 2011-12-01 |
| 1043534316 | Eh Moo Htoo | Counselor | 447 Summer St, Apt 1, Lynn, MA 01905 | 2010-03-16 |
| Find all providers in zip 01905 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942780671 | Richard Cornell Valentine Jr. | Counselor | 27 Bulfinch St, Lynn, MA 01904-3107 | 2018-08-21 |
| 1811481823 | Jermaine Lee Patterson | Counselor | 14 Brimblecom St, Lynn, MA 01902-4207 | 2018-06-22 |
| 1801387832 | Jessica Lea Chezhia | Counselor | 181 Union St., Suite J, Lynn, MA 01907 | 2018-05-24 |
| 1871005009 | Jonathan Gratini | Counselor | 9 Rogers Ave, Lynn, MA 01902-3802 | 2017-10-27 |
| 1720513336 | Janirca Jimenez | Counselor | 61 Piedmont St, Lynn, MA 01904-1906 | 2017-04-21 |
| 1497286959 | Cathy Lillian Ventura | Counselor | 213 Eastern Ave Fl 1, Lynn, MA 01902-1334 | 2017-03-25 |
| 1477093540 | Sayed Hashimi | Counselor | 20 Wheeler St Fl 4, Lynn, MA 01902-4178 | 2017-03-08 |
| 1407395429 | Dalene Basden | Counselor | 177 Fayette St, Lynn, MA 01902-2237 | 2017-02-23 |
| 1245774975 | Janice Castillo Paulino | Counselor | 173 Essex St Apt 3, Lynn, MA 01902-1721 | 2016-12-14 |
| 1568904753 | Cassandra Amenta | Counselor | 5 Park Rd, Lynn, MA 01904-1609 | 2016-11-06 |
| Find all providers in LYNN | ||||
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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.