DR. LAURA ALISON ELLICK PH.D.
NPI 1407875172
Psychologist - Clinical in Kings Park, NY

Q: What is Laura Ellick's NPI number?

The NPI number for Laura Ellick is 1407875172. It was assigned to this individual provider in the NPPES registry on July 19, 2006.

Q: What is Laura Ellick's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Laura Ellick was last updated on August 17, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years 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.

Active since July 19, 2006

12 RENWICK AVE, SUITE 103, KINGS PARK, NY 11754(516) 635-6186 Get Directions Write a Review

NPPES record last updated: August 17, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Laura Alison Ellick Ph.d. NPPES

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

DR. LAURA ALISON ELLICK PH.D. (NPI 1407875172) is an individual clinical provider in Kings Park, New York, licensed in New York (014960) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1407875172

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. LAURA ALISON ELLICKCredential: PH.D.

Location Address12 RENWICK AVE, SUITE 103Kings Park, NY 11754-3709

Mailing Address39 Dehan StSmithtown, NY 11787-1034 · (631) 656-9507

Phone(516) 635-6186

Sole ProprietorYes

Enumeration DateJuly 19, 2006

Last NPPES UpdateAugust 17, 2007

✔ NPI 1407875172 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 9

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in NY · 014960

Definition

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.

Also ListedPsychologist · Cognitive & BehavioralTaxonomy 103TB0200X · License 014960 (NY)

Also ListedPsychologist · Clinical Child & AdolescentTaxonomy 103TC2200X · License 014960 (NY)

Also ListedPsychologist · Exercise & SportsTaxonomy 103TE1100X · License 014960 (NY)

Also ListedPsychologist · FamilyTaxonomy 103TF0000X · License 014960 (NY)

Also ListedPsychologist · HealthTaxonomy 103TH0004X · License 014960 (NY)

Also ListedPsychologist · Health ServiceTaxonomy 103TH0100X · License 014960 (NY)

Also ListedPsychologist · Group PsychotherapyTaxonomy 103TP2701X · License 014960 (NY)

Also ListedMarriage & Family TherapistTaxonomy 106H00000X · License 014960 (NY)

12 RENWICK AVE, Kings Park, NY 11754

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Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MICHAEL JOSEPH SREDNIAWSKI DC

Chiropractor

12 RENWICK AVE
KINGS PARK, NY 11754

Suffolk County (631) 663-5555

MS. MADELEINE MARIE SANTORO LMT

Massage Therapist

12 RENWICK AVE
KINGS PARK, NY 11754

Suffolk County (631) 663-5555

MICHAEL J SREDNIAWSKI, DC, PC

Chiropractor

12 RENWICK AVE
KINGS PARK, NY 11754

Suffolk County (631) 663-5555

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 Laura Ellick's NPI number?

The NPI number for Laura Ellick is 1407875172. It was assigned to this individual provider in the NPPES registry on July 19, 2006.

Where is Laura Ellick located?

Laura Ellick practices at 12 Renwick Ave Suite 103, Kings Park, NY 11754. The listed phone number is (516) 635-6186.

What is Laura Ellick's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Laura Ellick was last updated on August 17, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years 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.