DR. ELLEN ELSIE DOUGHERTY PH.D.
NPI 1568601508
Psychologist - Clinical in Syracuse, NY

Q: What is Ellen Dougherty's NPI number?

The NPI number for Ellen Dougherty is 1568601508. It was assigned to this individual provider in the NPPES registry on February 16, 2009. The provider is also known as Dr. Ellen Elsie Dzus Ph.D..

Q: What is Ellen Dougherty'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 Ellen Dougherty was last updated on February 16, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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 February 16, 2009

800 IRVING AVE, BEHAVIORAL HEALTH OUTPATIENT CLINIC, SYRACUSE, NY 13210(315) 425-4400 Get Directions Write a Review

NPPES record last updated: February 16, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Ellen Elsie Dougherty Ph.d. NPPES

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

DR. ELLEN ELSIE DOUGHERTY PH.D. (NPI 1568601508) is an individual clinical provider in Syracuse, New York, licensed in New York (017979) and active in the NPI registry since February 2009.

NPPES Registry Identity

NPI1568601508

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. ELLEN ELSIE DOUGHERTYCredential: PH.D.

Location Address800 IRVING AVE, BEHAVIORAL HEALTH OUTPATIENT CLINICSyracuse, NY 13210-2716

Mailing Address800 Irving Ave, Behavioral Health Outpatient ClinicSyracuse, NY 13210-2716 · (315) 425-4400

Phone(315) 425-4400

Sole ProprietorNo

Enumeration DateFebruary 16, 2009

✔ NPI 1568601508 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in NY · 017979

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.

800 IRVING AVE, Syracuse, NY 13210

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Other Names 1

Former Name (1)Dr. Ellen Elsie Dzus Ph.d.

Other Providers at the Same Location NPPES 20

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

MICHELE RENE MCDONALD NP

Nurse Practitioner

800 IRVING AVE
SYRACUSE, NY 13210

Onondaga County (315) 425-4400

MS. KATHERINE JANICE BUFANO OTR/L

Occupational Therapist

800 IRVING AVE, VETERAN'S ADM. MEDICAL CENTER-OCCUPATIONAL THERAPY
SYRACUSE, NY 13210

Onondaga County (315) 425-4400

MR. MICHAEL JOHN HEATON RPH

Pharmacist

800 IRVING AVE
SYRACUSE, NY 13210

Onondaga County (315) 425-2456

MRS. JANICE MOREY PEDERSEN NP

Nurse Practitioner (Adult Health)

800 IRVING AVE, A 447
SYRACUSE, NY 13210

Onondaga County (315) 425-4400

STEPHEN ALBERT MAISTO PH.D.

Psychologist

800 IRVING AVE
SYRACUSE, NY 13210

Onondaga County (315) 425-6546

SAMANTHA CRANDALL PT, DPT

Physical Therapist

800 IRVING AVE
SYRACUSE, NY 13210

Onondaga County (315) 425-4400

MELISSA MARIE MORRIS LMSW

Social Worker (Clinical)

800 IRVING AVE
SYRACUSE, NY 13210

Onondaga County (315) 425-4400

NANCY MARIE KIBBY FNP

Nurse Practitioner (Family)

800 IRVING AVE
SYRACUSE, NY 13210

Onondaga County (315) 425-6515

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 Ellen Dougherty's NPI number?

The NPI number for Ellen Dougherty is 1568601508. It was assigned to this individual provider in the NPPES registry on February 16, 2009. The provider is also known as Dr. Ellen Elsie Dzus Ph.D..

Where is Ellen Dougherty located?

Ellen Dougherty practices at 800 Irving Ave Behavioral Health Outpatient Clinic, Syracuse, NY 13210. The listed phone number is (315) 425-4400.

What is Ellen Dougherty'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 Ellen Dougherty was last updated on February 16, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.