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DR. ALICIA ELISA AYALA LACONICH PH.D IN PSYCHOLOGY
NPI 1376138495
Clinical Neuropsychologist in Jacksonville, FL

Active since March 02, 2021PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
12574 FLAGLER CENTER BLVD, STE 101, JACKSONVILLE, FL 32258(904) 374-4276(888) 495-1508 Get Directions Write a Review

NPPES record last updated: September 10, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 10, 2025, Aug 1, 2024, Feb 8, 2024 and 4 more (7 updates tracked since 2021).

About Dr. Alicia Elisa Ayala Laconich Ph.d In Psychology NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ALICIA ELISA AYALA LACONICH PH.D IN PSYCHOLOGY (NPI 1376138495) is an individual clinical neuropsychologist in Jacksonville, Florida, licensed in Florida (PY10781) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in Jacksonville, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1376138495
Entity TypeIndividualFemale
Primary Taxonomy103G00000X
Provider Legal NameDR. ALICIA ELISA AYALA LACONICHCredential: PH.D IN PSYCHOLOGY
Location Address12574 FLAGLER CENTER BLVD, STE 101Jacksonville, FL 32258-2615
Mailing Address12574 Flagler Center Blvd Ste 101Jacksonville, FL 32258-2615
Phone(904) 374-4276
Fax(888) 495-1508
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateMarch 2, 2021
Last NPPES UpdateSeptember 10, 20257 updates tracked since enumeration
NPPES CertifiedSeptember 10, 2025
✔ NPI 1376138495 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers
Taxonomy Code103G00000X
License✔ Licensed in FL · PY10781
Definition
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License PY10781 (FL)
12574 FLAGLER CENTER BLVD, Jacksonville, FL 32258
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Secondary Practice Location 1

Location 11301 Palm Ave Ste 4A017Jacksonville, FL 32207-8432 · Phone (904) 376-3800 · Fax (904) 390-7395

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Cigna HealthCare of Florida, Inc., Florida Blue (BlueCross BlueShield FL) and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Alicia Elisa Ayala Laconich Ph.d In Psychology is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID244648731
PECOS Enrollment IDI20210422000553
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Alicia Ayala Laconich reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Baptist Behavioral Health, LLC
15 mi
Professional
841 PRUDENTIAL DR STE 1350
Jacksonville, FL 32207
  • Reassigned Medicare billing, Florida enrollment
  • 176 clinicians in this Medicare group
NPI 1215906649 (904) 376-3800

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
50 services14 patients
Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
25 services24 patients
Exam of neurobehavioral status, first hour 96116
An exam of neurobehavioral status is a medical procedure that evaluates your brain's functions. This includes assessing your cognitive abilities, emotional responses, and behavioral patterns. The first hour of the exam is typically dedicated to this initial evaluation.
11 services11 patients

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alicia Ayala Laconich's NPI number?

The NPI number for Alicia Ayala Laconich is 1376138495. It was assigned to this individual provider in the NPPES registry on March 2, 2021.

Where is Alicia Ayala Laconich located?

Alicia Ayala Laconich practices at 12574 Flagler Center Blvd Ste 101, Jacksonville, FL 32258. The listed phone number is (904) 374-4276.

What is Alicia Ayala Laconich's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Is Alicia Ayala Laconich enrolled in Medicare?

Yes. Alicia Ayala Laconich is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Alicia Ayala Laconich's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alicia Ayala Laconich reassigns Medicare benefits to Baptist Behavioral Health, LLC (Jacksonville, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Alicia Ayala Laconich's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Alicia Ayala Laconich accept?

Health plans from Cigna HealthCare of Florida, Inc., Cigna Healthcare, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Oscar Health Maintenance Organization of Florida and 1 other insurer list Alicia Ayala Laconich as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Alicia Ayala Laconich was last updated on September 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.