DR. LAURA ALISON ELLICK PH.D. NPI 1407875172

NPI Information

  • NPI: 1407875172
  • Provider Name: DR. LAURA ALISON ELLICK, PH.D.
  • Classification: Psychologist - 103TC0700X
  • Specialization: Clinical
  • Entity Type: Individual
  • Address: 12 RENWICK AVE
    SUITE 103
    KINGS PARK, NY
    ZIP 11754
  • Phone: (516) 635-6186

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NPI Details

DR. Laura Alison Ellick, PH.D. is a clinical psychologist in Kings Park, NY. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. DR. Laura Alison Ellick, PH.D. NPI is 1407875172. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

12 RENWICK AVE
SUITE 103
KINGS PARK, NY
ZIP 11754-709
Phone: (516) 635-6186

The enumeration date for this NPI number is 7/19/2006 and was last updated on 8/17/2007.

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
1103TB0200XPsychologistCognitive & Behavioral014960NEW YORKNo
2103TE1100XPsychologistExercise & Sports014960NEW YORKNo
3103TP2701XPsychologistGroup Psychotherapy014960NEW YORKNo
4103TC2200XPsychologistClinical Child & Adolescent014960NEW YORKNo
5103TH0100XPsychologistHealth Service014960NEW YORKNo
6103TH0004XPsychologistHealth014960NEW YORKNo
7106H00000XMarriage & Family Therapist014960NEW YORKNo
8103TF0000XPsychologistFamily014960NEW YORKNo
9103TC0700XPsychologistClinical014960NEW 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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