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DR. BRIAN DAVID ELLISON PSY.D
NPI 1851002067
Psychologist - Clinical in Great Neck, NY

Active since December 08, 2022PECOS Enrolled
935 NORTHERN BLVD STE 102, GREAT NECK, NY 11021(516) 487-7116 Get Directions Write a Review

NPPES record last updated: September 9, 2023. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Sep 9, 2023, Dec 8, 2022 (2 updates tracked since 2022).

About Dr. Brian David Ellison Psy.d NPPES

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

DR. BRIAN DAVID ELLISON PSY.D (NPI 1851002067) is an individual clinical provider in Great Neck, New York, licensed in New York (025970) and active in the NPI registry since December 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1851002067
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. BRIAN DAVID ELLISONCredential: PSY.D
Location Address935 NORTHERN BLVD STE 102Great Neck, NY 11021-5309
Mailing Address17 Riverdale AveOakdale, NY 11769-1544 · (631) 885-2738
Phone(516) 487-7116
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateDecember 8, 2022
Last NPPES UpdateSeptember 9, 20232 updates tracked since enumeration
NPPES CertifiedSeptember 9, 2023
✔ NPI 1851002067 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 · 025970
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.
935 NORTHERN BLVD STE 102, Great Neck, NY 11021
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Brian David Ellison Psy.d is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8224511423
PECOS Enrollment IDI20260316003794
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 Brian Ellison reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Grow Healthcare Group PA
1,100 mi
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, New York enrollment
  • 867 clinicians in this Medicare group
NPI 1245845932 (786) 244-7711

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11021 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$203.53 typical visit price
range $67.40 – $203.53
Typical copayment $50.88 (range $16.85 – $50.88)
Most-billed visit code 99205
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

RICHARD BELZ
Psychologist (Clinical)
935 NORTHERN BLVD STE 102
GREAT NECK, NY 11021
Nassau County (516) 487-7116
CATHY BUDMAN MD PLLC
Psychiatry & Neurology (Psychiatry)
935 NORTHERN BLVD STE 102
GREAT NECK, NY 11021
Nassau County (516) 487-7116
DR. YVETTE FRUCHTER PHD
Psychologist (Clinical)
935 NORTHERN BLVD STE 102
GREAT NECK, NY 11021
Nassau County (516) 487-7116
JESSICA BEDZINER
Psychologist (Clinical)
935 NORTHERN BLVD STE 102
GREAT NECK, NY 11021
Nassau County (516) 487-7116

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 Brian Ellison's NPI number?

The NPI number for Brian Ellison is 1851002067. It was assigned to this individual provider in the NPPES registry on December 8, 2022.

Where is Brian Ellison located?

Brian Ellison practices at 935 Northern Blvd Ste 102, Great Neck, NY 11021. The listed phone number is (516) 487-7116.

What is Brian Ellison's specialty?

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

Is Brian Ellison enrolled in Medicare?

Yes. Brian Ellison is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Brian Ellison's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brian Ellison reassigns Medicare benefits to Grow Healthcare Group PA (Miami, 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 Brian Ellison's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Brian Ellison was last updated on September 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.