JAY M ELLIS D.O. NPI 1558441790

NPI Information

  • NPI: 1558441790
  • Provider Name: JAY M ELLIS, D.O.
  • Classification: Psychiatry & Neurology - 2084N0400X
  • Specialization: Neurology
  • Entity Type: Individual
  • Address: 100 WENDELL AVE
    PITTSFIELD, MA
    ZIP 01201
  • Phone: (413) 499-7128

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NPI Details

Jay M Ellis, D.O. is a neurology psychiatry neurology in Pittsfield, MA. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. Jay M Ellis, D.O. NPI is 1558441790. 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:

100 WENDELL AVE
PITTSFIELD, MA
ZIP 01201-941
Phone: (413) 499-7128
Fax: (413) 447-1926

The enumeration date for this NPI number is 10/16/2006 and was last updated on 3/11/2011.

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
12084N0400XPsychiatry & NeurologyNeurology40812MASSACHUSETTSYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12051842MEDICAIDMASSACHUSETTS
2B99530MEDICARE UPINMASSACHUSETTS
3I22245MEDICARE ID-TYPE UNSPECIFIEDMASSACHUSETTS

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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