MICHAEL V ELLIS (NPI# 1699700666) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699700666 |
| Entity Type | Individual |
| Full Name | MICHAEL V ELLIS |
| Credential | PH.D. |
| Practice Address |
1a Pine West Plz Albany NY 12205-5557 |
| Mailing Address |
4 Berkshire Dr W Clifton Park NY 12065-1741 |
| Practice Telephone | 5184169500 |
| Practice Fax Number | 5188621668 |
| Mailing Telephone | 5188621533 |
| Mailing Fax Number | 5187164880 |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2016-04-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
008630 | NY | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184288961 | Michael Frederick Ellis | Social Worker | 2913 Pleasant Valley Avenue, Suite 125, Winchester, VA 22601 | 2019-04-26 |
| 1679066286 | Michael Elizabeth Ellis | Behavior Technician | 909 W Main St Ste 4, Jacksonville, AR 72076-4025 | 2018-06-08 |
| 1275023087 | Michael Ellis | Counselor | 3820 Melissa Dr, Harvey, LA 70058 | 2018-05-16 |
| 1174042048 | Michael Ellis | Technician | 215 Savannah St Se Unit A, Washington, DC 20032-5473 | 2017-09-12 |
| 1972986693 | Michael Joseph Ellis | Internal Medicine | 4057 Asbury Ave Ste 21, Tinton Falls, NJ 07753-7700 | 2015-06-30 |
| 1467762393 | Michael Flint Ellis | Counselor | 230 Rachel Carson Way, Ithaca, NY 14850-8401 | 2010-10-13 |
| 1003968983 | Michael Roy Ellis | Dentist | 789 Farmington Ave, Bristol, CT 06010-3919 | 2007-01-18 |
| 1407921638 | Michael Ray Ellis | Dentist | 406 West Upshur Ave, Gladewater, TX 75647 | 2006-11-22 |
| 1003981671 | Michael Alan Ellis | Psychiatry & Neurology | 2000 16th Avenue, Columbus, GA 31901-1665 | 2006-11-21 |
| 1174624951 | Michael Seward Ellis | Social Worker | 107 Windel Dr Ste 213, Raleigh, NC 27609-4471 | 2006-09-26 |
| Street Address |
1A PINE WEST PLZ |
| City | ALBANY |
| State | NY |
| Zip Code | 12205-5557 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144215344 | Steven David Kronick | Psychiatry & Neurology | 1a Pine West Plz, Albany, NY 12205-5556 | 2005-09-13 |
| 1174647085 | M. Katherine Kennedy | Psychologist | 1a Pine West Plz, Albany, NY 12205-5556 | 2007-03-17 |
| 1891823472 | Rose Judith Capurso | Psychologist | 1a Pine West Plz, Albany, NY 12205-5556 | 2007-03-02 |
| 1831257740 | Patricia Polanik Miller | Psychologist | 1a Pine West Plz, Pine Bush Mental Health, LLP, Albany, NY 12205-5556 | 2006-12-04 |
| 1962572362 | Pine Bush Mental Health, LLP | Psychologist | 1a Pine West Plz, Albany, NY 12205-5556 | 2006-11-09 |
| 1013091693 | Howard H Ferrin | Psychologist | 1a Pine West Plz, Pine Bush Mental Health, Albany, NY 12205-5556 | 2006-10-24 |
| 1740397488 | Rhonda K B Landis | Psychologist | 1a Pine West Plz, Albany, NY 12205-5557 | 2006-08-25 |
| 1023032091 | Edith Hahn Lundquist | Registered Nurse | 1a Pine West Plz, Albany, NY 12205-5557 | 2006-07-26 |
| 1609840107 | Susan A Ross | Psychologist | 1a Pine West Plz, Albany, NY 12205-5556 | 2006-02-14 |
| 1053398453 | Frederick James Smith | Psychologist | 1a Pine West Plz, Albany, NY 12205-5556 | 2005-12-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518564053 | Capital Regional Rx LLC | Pharmacy | 431 New Karner Road Bldg#4 Suite 180, Albany, NY 12205 | 2020-10-07 |
| 1548722549 | The Alternative Living Group, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 500 New Karner Road, Suite 3, Albany, NY 12205 | 2019-04-01 |
| 1003398439 | Sarah Itwaru | Social Worker | 401 New Karner Road, Albany, NY 12205 | 2018-09-01 |
| 1740708106 | Kenneth Cook | Physician Assistant | 121everett Rd, Albany, NY 12205 | 2017-09-06 |
| 1437691839 | Sarah Avery | Physical Therapist | 5 S Family Dr, Colonie, NY 12205 | 2016-11-16 |
| 1063892776 | Olsen Medical Sales, LLC | Durable Medical Equipment & Medical Supplies | 98 Everett Rd, Albany, NY 12205 | 2015-06-08 |
| 1972921484 | Alixandra Joy Foisy | Social Worker | 42 Oakwood Dr, Albany, NY 12205 | 2014-04-01 |
| 1780015206 | The Promptcare Companies | Durable Medical Equipment & Medical Supplies | 1015c Central Avenue, Albany, NY 12205 | 2013-12-09 |
| 1396088332 | Early Childhood Education Center | Day Training, Developmentally Disabled Services | 251 Washington Ave Extension, Albany, NY 12205 | 2013-03-28 |
| 1487906707 | Centerfordisabiltyservices | Preferred Provider Organization | 5 Keller Street, Albany, NY 12205 | 2012-10-10 |
| Find all providers in zip 12205 | ||||
| Taxonomy Code | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447657457 | Joyce Yvette Dewitt-parker | Psychologist | 260 Washington Ave. Ext., Corporate Plaza, Suite 101, Albany, NY 12203 | 2014-11-20 |
| 1245476951 | Meredith Lyon | Psychologist | 756 Madison Ave Ste 201, Albany, NY 12208-3823 | 2008-12-30 |
| 1538295209 | Stephen Joseph Giordano | Psychologist | 1067 Madison Ave, Albany, NY 12208-2605 | 2007-02-26 |
| 1730284688 | Ginna M Roeding | Psychologist | 790 Lancaster St, Albany, NY 12203-1506 | 2006-09-14 |
| 1154949808 | Christina Colgary | Psychologist | 2 Clara Barton Dr # Mc-164, Albany, NY 12208-3472 | 2020-07-09 |
| 1063048130 | Kayoko Yokoyama | Psychologist | 902 Curtis St, Albany, CA 94706-2108 | 2020-03-20 |
| 1801366109 | Tammy Baumgartel | Psychologist | 5550 Ennis Rd, Albany, OH 45710-9259 | 2018-11-29 |
| 1699222836 | Alicia J Harlow | Psychologist | 5 Pine West Plz, Suite 511, Albany, NY 12205-5593 | 2016-09-06 |
| 1912309741 | Sarah Elizabeth Nolan | Psychologist | 5 Pine West Plz, Suite 511, Albany, NY 12205-5587 | 2014-09-24 |
| 1831464718 | Daniel Melvin Huber | Psychologist | 5 Pine West Plz, Ste 511, Albany, NY 12205-5587 | 2012-03-12 |
| Find all providers in ALBANY | ||||
Please comment or provide details below to improve the information on MICHAEL V ELLIS.
| 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.