Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Alan Ickowitz, Psy D , PA

Organization Psychologist · NPI 1861510091

Alan Ickowitz, Psy D , PA is a Psychologist in Tampa, Florida. Licensed in Florida. Registered with an NPI since 2007.

Licensed in
FL
In the registry since
2007
Specialties on file
3
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6105 Memorial Hwy Ste B
Tampa, FL 33615-4597
Phone: (813) 814-9839
Fax: (813) 200-1044
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PY5649 (FL)
Psychologist Taxonomy 103T00000X · Licence PY5649 (FL)
Addiction (Substance Use Disorder) Psychologist Taxonomy 103TA0400X · Licence PY5649 (FL)

Record details

NPI number1861510091
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Alan Ickowitz — President · (813) 814-9839
NPI enumeratedMarch 26, 2007
Last updated in NPPESSeptember 11, 2025
Mailing address6105 Memorial Hwy, Ste B, Tampa, FL 33615-4597

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