Ellen Agoos, PHD

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

R023450 Issued in NY

Practice address

184 Lexington Ave
Suite 3D
New York, NY 10016-6839

Phone

(212) 679-0042

Fax

(212) 288-9833

NPI assigned

Jan 15, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124179239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "184 LEXINGTON AVE",
            "address_2": "SUITE 3D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100166839",
            "telephone_number": "212-679-0042",
            "fax_number": "212-288-9833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "184 LEXINGTON AVE",
            "address_2": "SUITE 3D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100166839",
            "telephone_number": "212-679-0042",
            "fax_number": "212-288-9833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGOOS",
        "first_name": "ELLEN",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "R023450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenan Agnihotri, DMD
• Varsha Agnihotri, DMD
• Joshua Agoha
• Andrew Paul Agoliati, M.D.
• Sara Agolli
• Alexander Agopyan-Miu, MD
• Valencia Mawufemor Agordo
• Oluwafunmilayo Agoro, MD
• Gabriella Agosta, MD
• April Agosto, LMSW

• Mental Health Counselor in New York, NY
• Providers in New York, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.