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

Dr. Brian David Ellison, PSYD

Individual provider Clinical Psychologist · NPI 1851002067

Dr. Brian David Ellison, PSYD is a Clinical Psychologist in Great Neck, New York. Qualified in 2022, 4 years ago. Licensed in New York.

Years since qualifying
4
Licensed in
NY
In the registry since
2022
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

935 Northern Blvd Ste 102
Great Neck, NY 11021-5309
Phone: (516) 487-7116
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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 025970 (NY)

Record details

NPI number1851002067
Entity typeIndividual (Type 1)
GenderMale
Credentials PSYD
Sole proprietorNo
NPI enumeratedDecember 8, 2022
Last updated in NPPESSeptember 9, 2023
Certification dateSeptember 9, 2023
Mailing address17 Riverdale Ave, Oakdale, NY 11769-1544

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated

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