IndividualActive
Nicquelette Ellison
NPI 1912745472 · Psychologist · Tyler, TX
Nicquelette Ellison is a Psychologist provider in Tyler, TX (NPI 1912745472).
Provider details
- NPI number
- 1912745472
- Entity type
- Individual
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(50/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2830 W Grande Blvd Apt 3102
Tyler, TX 75703-3392
Phone: (813) 919-5860
Street-level locationGet directions
Mailing address
2830 W Grande Blvd Apt 3102
Tyler, TX 75703-3392
Registry dates
- Enumerated
- 2024-07-18
- Last updated
- 2025-10-08
- Certified
- 2025-10-08
Frequently asked questions
- What is Nicquelette Ellison's NPI number?
- Nicquelette Ellison's National Provider Identifier (NPI) is 1912745472, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Nicquelette Ellison's specialty?
- Nicquelette Ellison is listed in the NPPES registry with a primary specialty of Psychologist (Behavioral Health & Social Service Providers).
- Where is Nicquelette Ellison located?
- Nicquelette Ellison's practice location on file with NPPES is 2830 W Grande Blvd Apt 3102, Tyler, TX 75703-3392.
- What is Nicquelette Ellison's phone number?
- The practice phone number listed in the NPPES registry for Nicquelette Ellison is (813) 919-5860.
- Is Nicquelette Ellison's NPI active?
- Yes — Nicquelette Ellison's NPI (1912745472) is active in the NPPES registry as of the last update on 2025-10-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.