- Practice location
- 11 Ward St, Somerville, MA 02143-4214
- Phone
- 617-629-6790
- Fax
- —
- Last updated
- July 9, 2013
Keith Ellis is a Counselor based in Somerville, MA. Keith Ellis practices in Somerville, MA. The NPI Number for Keith Ellis is 1194166942. The current practice location address for Keith Ellis is 11 Ward St, Somerville, MA 02143-4214 and can be reached out via phone at 617-629-6790.
Provider Profile Details
- NPI Number
- 1194166942
- Provider Name
- Keith Ellis
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 11 Ward St, Somerville, MA 02143-4214
- Phone Number
- 617-629-6790
- Primary Taxonomy
- Counselor · 101Y00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- July 9, 2013
- Last Update Date
- July 9, 2013
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 11 Ward St
Somerville, MA 02143-4214 - City
- Somerville
- State
- Massachusetts
- Zip
- 02143-4214
- Phone Number
- 617-629-6790
Provider Business Mailing Address Details
- Address
- 40 Locke St Unit 525
Haverhill, MA 01830-5503 - City
- Haverhill
- State
- MA
- Zip
- 01830-5503
License Information
- Taxonomy
- Counselor · 101Y00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Counselors near Somerville, MA
View all Counselors in Somerville →Frequently Asked Questions
What is the NPI number of Keith Ellis?
The NPI number of Keith Ellis is 1194166942. It was assigned on July 9, 2013 and is currently active in the NPPES registry.
What is the specialty of Keith Ellis?
Keith Ellis is registered under the primary taxonomy Counselor (code 101Y00000X).
Where does Keith Ellis practice?
The practice location is 11 Ward St, Somerville, MA 02143-4214. The office can be reached at 617-629-6790 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1194166942 directly on the NPPES registry website.