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

MS. Kathleen A Ellickson, PHD

Individual provider Clinical Psychologist · NPI 1962533141

MS. Kathleen A Ellickson, PHD is a Clinical Psychologist in Columbus, Ohio. Qualified in 1986, 40 years ago. Accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
40
Licensed in
OH
In the registry since
2007
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

1670 Upham Dr
Columbus, OH 43210-1250
Phone: (614) 293-9600
Fax: (614) 293-8552
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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 4079 (OH)

Record details

NPI number1962533141
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorNo
NPI enumeratedMarch 8, 2007
Last updated in NPPESJuly 8, 2007

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1986 (40 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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