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DR. ELISA LACONICH, PH.D., PLLC
NPI 1598341307
Clinical Neuropsychologist in Jacksonville, FL

Active since March 22, 2021
12574 FLAGLER CENTER BLVD STE 101, JACKSONVILLE, FL 32258(904) 374-4276 Get Directions Write a Review

NPPES record last updated: March 22, 2022. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Dr. Elisa Laconich, Ph.d., Pllc NPPES

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

DR. ELISA LACONICH, PH.D., PLLC (NPI 1598341307) is a healthcare organization registered as a clinical neuropsychologist in Jacksonville, Florida and active in the NPI registry since March 2021. The organization maintains a secondary practice location in Lake Worth and lists Alicia Elisa Ayala Laconich, Clinical Neuropsychologist, as its authorized official.

NPPES Registry Identity

NPI1598341307
Entity TypeOrganization
Primary Taxonomy103G00000X
Legal Business NameDR. ELISA LACONICH, PH.D., PLLC
Location Address12574 FLAGLER CENTER BLVD STE 101Jacksonville, FL 32258-2615
Mailing Address12574 Flagler Center Blvd Ste 101Jacksonville, FL 32258-2615
Phone(904) 374-4276
Organization SubpartNo
Authorized OfficialAlicia Elisa Ayala LaconichClinical Neuropsychologist · (561) 577-3402
Enumeration DateMarch 22, 2021
Last NPPES UpdateMarch 22, 2022
NPPES CertifiedMarch 22, 2022
✔ NPI 1598341307 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers
Taxonomy Code103G00000X
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.
12574 FLAGLER CENTER BLVD STE 101, Jacksonville, FL 32258
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Secondary Practice Location 1

Location 14393 Trevi Ct Apt 205Lake Worth, FL 33467-4005 · Phone (561) 577-3402

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

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

MRS. CRYSTAL ANN WADE MSN, AG-ACNP-BC
Nurse Practitioner (Adult Health)
12574 FLAGLER CENTER BLVD STE 101
JACKSONVILLE, FL 32258
Duval County (904) 674-8037
DR. STACY LAINE PIKE PSY.D.
Psychologist (Clinical)
12574 FLAGLER CENTER BLVD STE 101
JACKSONVILLE, FL 32258
Duval County (904) 325-9276
VICTORIA KOZEL NP
Nurse Practitioner (Psychiatric/Mental Health)
12574 FLAGLER CENTER BLVD STE 101
JACKSONVILLE, FL 32258
Duval County (904) 827-3704
HYPERMOBILITY HUB LLC
Nurse Practitioner
12574 FLAGLER CENTER BLVD STE 101
JACKSONVILLE, FL 32258
Duval County (904) 674-8037

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 Dr. Elisa Laconich, Ph.D., PLLC's NPI number?

The NPI number for Dr. Elisa Laconich, Ph.D., PLLC is 1598341307. It was assigned to this organization in the NPPES registry on March 22, 2021.

Where is Dr. Elisa Laconich, Ph.D., PLLC located?

Dr. Elisa Laconich, Ph.D., PLLC is located at 12574 Flagler Center Blvd Ste 101, Jacksonville, FL 32258. The listed phone number is (904) 374-4276.

What is Dr. Elisa Laconich, Ph.D., PLLC'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 Dr. Elisa Laconich, Ph.D., PLLC was last updated on March 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.