MR. GARY W. ELLIOTT PHD
NPI 1518956648
Clinical Neuropsychologist in Mishawaka, IN

Q: What is Gary Elliott's NPI number?

The NPI number for Gary Elliott is 1518956648. It was assigned to this individual provider in the NPPES registry on October 20, 2005.

Q: What is Gary Elliott's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Gary Elliott was last updated on January 10, 2008. 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 October 20, 2005

314 W CATALPA, SUITE E, MISHAWAKA, IN 46545(574) 254-1700(574) 254-2930 Get Directions Write a Review

NPPES record last updated: January 10, 2008. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Mr. Gary W. Elliott Phd NPPES

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

MR. GARY W. ELLIOTT PHD (NPI 1518956648) is an individual clinical neuropsychologist in Mishawaka, Indiana, licensed in Indiana (20010470A) and active in the NPI registry since October 2005.

NPPES Registry Identity

NPI1518956648

Entity TypeIndividualMale

Primary Taxonomy103G00000X

Provider Legal NameMR. GARY W. ELLIOTTCredential: PHD

Location Address314 W CATALPA, SUITE EMishawaka, IN 46545

Mailing Address314 W Catalpa, Suite EMishawaka, IN 46545 · (574) 254-1700 · Fax (574) 254-2930

Phone(574) 254-1700

Fax(574) 254-2930

Sole ProprietorYes

Enumeration DateOctober 20, 2005

Last NPPES UpdateJanuary 10, 2008

✔ NPI 1518956648 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 IN · 20010470A

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 20010470A (IN)

314 W CATALPA, Mishawaka, IN 46545

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Other Identifiers 2

Other1844001IN · Oaklawn Psychiatric Cente

Medicare ID-Type Unspecified203300AIN

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 Gary Elliott's NPI number?

The NPI number for Gary Elliott is 1518956648. It was assigned to this individual provider in the NPPES registry on October 20, 2005.

Where is Gary Elliott located?

Gary Elliott practices at 314 W Catalpa Suite E, Mishawaka, IN 46545. The listed phone number is (574) 254-1700.

What is Gary Elliott's specialty?

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

When was this NPI record last updated?

The NPPES record for Gary Elliott was last updated on January 10, 2008. 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.