Daisy Belle Ellington Dupas, PHD

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6401001266 Issued in MI

Practice address

1959 E Jefferson Ave
Suite 400
Detroit, MI 48207-4125

Phone

(313) 394-2133

NPI assigned

Jun 17, 2008

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

Other names 1

• Dr. Daisy B Ellington Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Behavioral Healthcare & Assessments PLLC

  • Professional Counselor
  • Detroit, MI
  • NPI 1316356272
  NPD (past) Authorized official

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

{
    "created_epoch": "1213660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213660800000",
    "number": "1447410055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "708 SAINT MARON ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482073983",
            "telephone_number": "313-492-3165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1959 E JEFFERSON AVE",
            "address_2": "SUITE 400",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482074125",
            "telephone_number": "313-394-2133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLINGTON DUPAS",
        "first_name": "DAISY",
        "middle_name": "BELLE",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-17",
        "last_updated": "2008-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401001266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAISY",
            "last_name": "ELLINGTON",
            "middle_name": "B",
            "prefix": "DR.",
            "credential": "PHD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Yasser Ellaicy, DO
• Ellas Helping Hands
• Elisheva Ellenberg, FNP-C
• Rebecca Elizabeth Ellens, PSY.D.
• Summer Morgan Ellerbee, MSW
• Sapphire Ellington
• Candius Elliott
• Djilan Elliott
• Kourtnee Elliott, MA, TLLP
• Melanie Elliott

• Professional Counselor in Detroit, MI
• Providers in Detroit, MI by specialty
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; 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.