Jay M Ellis, DO
Psychiatry & Neurology, Neurology in Pittsfield, Massachusetts
1558441790- Practice location
- 100 Wendell Ave, Pittsfield, MA 01201-6941
- Phone
- 413-499-7128
- Fax
- 413-447-1926
- Last updated
- March 11, 2011
Jay M Ellis is a Psychiatry & Neurology, Neurology based in Pittsfield, MA. Jay M Ellis practices in Pittsfield, MA and has the professional credentials of DO. The NPI Number for Jay M Ellis is 1558441790 and holds a License No. 40812 (MA). The current practice location address for Jay M Ellis is 100 Wendell Ave, Pittsfield, MA 01201-6941 and can be reached out via phone at 413-499-7128 and via fax at 413-447-1926.
Provider Profile Details
- NPI Number
- 1558441790
- Provider Name
- Jay M Ellis
- Credential
- DO
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 100 Wendell Ave, Pittsfield, MA 01201-6941
- Phone Number
- 413-499-7128
- Fax Number
- 413-447-1926
- Primary Taxonomy
- Psychiatry & Neurology, Neurology · 2084N0400X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- October 16, 2006
- Last Update Date
- March 11, 2011
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 100 Wendell Ave
Pittsfield, MA 01201-6941 - City
- Pittsfield
- State
- Massachusetts
- Zip
- 01201-6941
- Phone Number
- 413-499-7128
- Fax Number
- 413-447-1926
Provider Business Mailing Address Details
- Address
- 100 Wendell Ave
Pittsfield, MA 01201-6941 - City
- Pittsfield
- State
- MA
- Zip
- 01201-6941
- Phone Number
- 413-499-7128
- Fax Number
- 413-447-1926
License Information
- License Number
- 40812
- License State
- MA
- Taxonomy
- Psychiatry & Neurology, Neurology · 2084N0400X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Jay M Ellis, DO?
The NPI number of Jay M Ellis, DO is 1558441790. It was assigned on October 16, 2006 and is currently active in the NPPES registry.
What is the specialty of Jay M Ellis, DO?
Jay M Ellis, DO is registered under the primary taxonomy Psychiatry & Neurology, Neurology (code 2084N0400X), licensed in MA under license number 40812.
Where does Jay M Ellis, DO practice?
The practice location is 100 Wendell Ave, Pittsfield, MA 01201-6941. The office can be reached at 413-499-7128 (phone) or 413-447-1926 (fax).
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 1558441790 directly on the NPPES registry website.