MR. MICHAEL FLINT ELLIS LMSW NPI 1467762393

NPI Information

  • NPI: 1467762393
  • Provider Name: MR. MICHAEL FLINT ELLIS, LMSW
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 230 RACHEL CARSON WAY
    ITHACA, NY
    ZIP 14850
  • Phone: (607) 239-7247

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NPI Details

MR. Michael Flint Ellis, LMSW is a mental health counselor in Ithaca, NY. MR. Michael Flint Ellis, LMSW NPI is 1467762393. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

230 RACHEL CARSON WAY
ITHACA, NY
ZIP 14850-401
Phone: (607) 239-7247

The NPI 1467762393 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS).

The enumeration date for this NPI number is 10/13/2010 and was last updated on 1/2/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental Health066334NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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