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

Ellie Bruckner

Individual provider Clinical Child & Adolescent Psychologist · NPI 1164211942

Ellie Bruckner is a Clinical Child & Adolescent Psychologist in New York, New York. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

1 Park Ave
New York, NY 10016-5802
Phone: (646) 754-5000
Fax: (646) 754-9538
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Child & Adolescent Psychologist (primary) Taxonomy 103TC2200X

Record details

NPI number1164211942
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 6, 2025
Last updated in NPPESMay 6, 2025
Certification dateApril 26, 2025

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