Individual provider · Type 1 NPI

Brian David Ellison, PSY.D

Clinical Psychologist · Great Neck, NY

NPI number 1851002067 Active

Practice location

935 Northern Blvd Ste 102
Great Neck, NY 11021-5309

Mailing address

17 Riverdale Ave
Oakdale, NY 11769-1544

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700X025970 (NY)

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 1851002067

Brian David Ellison, PSY.D's National Provider Identifier is 1851002067, issued on Dec 8, 2022. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Great Neck, NY. The record was last updated on Sep 9, 2023.