Individual provider · Type 1 NPI

Jenice Amy Ely, PhD

Clinical Psychologist · Lexington, MA

NPI number 1467409839 Active

Practice location

4 Militia Dr, Suite 15
Lexington, MA 02421-4737

Call (781) 674-1121 Map

Fax (781) 674-1121

Mailing address

23 Fair Oaks Ter
Lexington, MA 02421-6905

Specialties and licenses

TaxonomyCodeLicense
Clinical Neuropsychologist 103G00000X6930 (MA)
Clinical Psychologist Primary 103TC0700X6930 (MA)

Clinical Psychologist: 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 discip…

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About NPI 1467409839

Jenice Amy Ely, PhD's National Provider Identifier is 1467409839, issued on May 30, 2006. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Lexington, MA. The record was last updated on Jul 13, 2026.