Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Derek Ellis

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1720372857

Mr. Derek Ellis is an Addiction (Substance Use Disorder) Counselor in New York, New York. Practices as a sole proprietor. Registered with an NPI since 2011.

In the registry since
2011

Practice location Address checks out

311 W 35th St
New York, NY 10001-1701
Phone: (212) 736-5900
Fax: (212) 645-1441
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X

Record details

NPI number1720372857
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 7, 2011
Last updated in NPPESJune 7, 2011

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