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

Dr. Alicia Elisa Ayala Laconich, PHDINPSYCHOLOGY

Individual provider Clinical Neuropsychologist · NPI 1376138495

Dr. Alicia Elisa Ayala Laconich, PHDINPSYCHOLOGY is a Clinical Psychologist in Jacksonville, Florida. Qualified in 2015, 11 years ago. Practices with Baptist Behavioral Health LLC, a 121-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
11
Licensed in
FL
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

12574 Flagler Center Blvd Ste 101
Jacksonville, FL 32258-2615
Phone: (904) 374-4276
Fax: (888) 495-1508
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1301 Palm Ave Ste 4a017, Jacksonville, FL 32207-8432 — (904) 376-3800

Specialties & licences

Clinical Neuropsychologist (primary) Taxonomy 103G00000X · Licence PY10781 (FL)
Clinical Psychologist Taxonomy 103TC0700X · Licence PY10781 (FL)

Record details

NPI number1376138495
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHDINPSYCHOLOGY
Sole proprietorNo
NPI enumeratedMarch 2, 2021
Last updated in NPPESSeptember 10, 2025
Certification dateSeptember 10, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Baptist Behavioral Health Llc — 121 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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