ALICIA LYNN ELLIOTT (NPI# 1588044432) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588044432 |
| Entity Type | Individual |
| Full Name | ALICIA LYNN ELLIOTT |
| Credential | D.O. |
| Practice Address |
1301 8th St S Moorhead MN 56560-3604 |
| Mailing Address |
1919 Elm St N Fargo ND 58102-2416 |
| Practice Telephone | 7012343100 |
| Mailing Telephone | 7012934113 |
| Enumeration Date | 2015-06-05 |
| Last Update Date | 2019-10-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
65725 | MN | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962949693 | Alicia Natoria Elliott | Home Health Aide | 129 Ivanhoe St Sw Apt 101, Washington, DC 20032-1026 | 2017-01-19 |
| 1750798914 | Alicia Elliott | Counselor | 504 Lakeland Rd, Shawano, WI 54166-3836 | 2014-07-18 |
| 1740547801 | Alicia M Elliott | Counselor | 6380 Lbj Fwy Ste 299, Dallas, TX 75240-6439 | 2012-04-13 |
| 1699071100 | Alicia Ann Elliott | Clinical Nurse Specialist | 1720 Beacon St, Fort Wayne, IN 46805-4749 | 2011-01-31 |
| Street Address |
1301 8TH ST S |
| City | MOORHEAD |
| State | MN |
| Zip Code | 56560-3604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609855873 | Amie C Haugo | Family Medicine | 1301 8th St S, Moorhead, MN 56560-3604 | 2006-01-16 |
| 1326655689 | Samir Golos | Nurse Practitioner | 1301 8th St S, Moorhead, MN 56560-3604 | 2020-09-30 |
| 1497390298 | Keith Francis Donohue | Psychologist | 1301 8th St S, Moorhead, MN 56560-3604 | 2019-11-15 |
| 1437662640 | Caitlin Pollestad | Psychologist | 1301 8th St S, Moorhead, MN 56560-3604 | 2017-11-09 |
| 1336508274 | Amanda Storey | Psychologist | 1301 8th St S, Moorhead, MN 56560-3604 | 2016-02-21 |
| 1285005991 | Brianna J Crawford | Psychologist | 1301 8th St S, Moorhead, MN 56560-3604 | 2015-10-08 |
| 1376925958 | Yu-ting Wung | Psychiatry & Neurology | 1301 8th St S, Moorhead, MN 56560-3604 | 2015-06-19 |
| 1609156934 | Sanford Medical Center Fargo | Family Medicine | 1301 8th St S, Moorhead, MN 56560-3604 | 2011-08-18 |
| 1093005639 | Steven John Meek | Psychiatry & Neurology | 1301 8th St S, Moorhead, MN 56560-3604 | 2011-04-16 |
| 1942599048 | Jonathan Charles Olivas | Psychiatry & Neurology | 1301 8th St S, Moorhead, MN 56560-3604 | 2011-03-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386298859 | Anna Mckay Fox | Pharmacist | 4000 28th Avenue S, Moorhead, MN 56560 | 2019-08-01 |
| 1972019727 | Michael Wayne Hilliard | Specialist/Technologist | 649 17th St S, Moorhead, MN 56560 | 2017-12-15 |
| 1508217183 | Kristen Johnson | Nurse Practitioner | 801 Belsly Boulevard, Moorhead, MN 56560 | 2016-06-25 |
| 1861877052 | Midwest Mental Health Clinic | Nurse Practitioner | 819 30th Ave S Office 206 Suite B, Moorhead, MN 56560 | 2015-07-29 |
| 1083037709 | Drake Counseling Services, Inc. | Clinic/Center | 715 11th Street North, Suite 204, Moorhead, MN 56560 | 2014-01-31 |
| 1710310917 | Lamar Terrell Hill | Social Worker | 420 Center Ave Ste 102, Moorhead, MN 56560 | 2013-08-12 |
| 1982956140 | Lilac Homes Corporation | Assisted Living Facility | 2615 Parkview Dr, Moorhead, MN 56560 | 2012-10-11 |
| 1487918462 | Paige Joy Hanson | Massage Therapist | 805 14th St. So., Msum Wellness Center, Moorhead, MN 56560 | 2012-06-25 |
| 1972809408 | Cslm, LLC | Assisted Living Facility | 2401 South 11th Street, Moorhead, MN 56560 | 2011-02-01 |
| 1972814846 | Paul Michael Fluto | Pharmacist | 3000 Hwy 10 East, Mooehead, MN 56560 | 2010-06-25 |
| Find all providers in zip 56560 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891887428 | Louella Pineda Simpao | Psychiatry & Neurology | 2925 20th St South, Prairie St Johns, Moorhead, MN 56560 | 2006-09-29 |
| 1376925958 | Yu-ting Wung | Psychiatry & Neurology | 1301 8th St S, Moorhead, MN 56560-3604 | 2015-06-19 |
| 1942599048 | Jonathan Charles Olivas | Psychiatry & Neurology | 1301 8th St S, Moorhead, MN 56560-3604 | 2011-03-30 |
| 1457398711 | Robert Dennis Staton | Psychiatry & Neurology | 1010 32nd Ave S, Moorhead, MN 56560-5001 | 2006-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588277677 | Emily Tonkin, LLC | Psychiatry & Neurology | 825 Nicollet Mall Ste 1246, Minneapolis, MN 55402-2702 | 2020-08-28 |
| 1083243182 | Blake Novy | Psychiatry & Neurology | 200 1st St Sw Dept Of, Rochester, MN 55905-0001 | 2020-04-02 |
| 1174156152 | Actify Neurotherapies, Pllc | Psychiatry & Neurology | 115 Elm St Ste I, Farmington, MN 55024-1031 | 2020-02-18 |
| 1336771591 | Paul George Wawin | Psychiatry & Neurology | 712 Cascade St. S. Lake Region Healthcare, Fergus Falls, MN 56537 | 2020-02-06 |
| 1912537721 | Psy-fi Tms | Psychiatry & Neurology | 6504 Creek Dr, Edina, MN 55439-1208 | 2020-01-21 |
| 1821637869 | Psychopharmacology Consultant LLC | Psychiatry & Neurology | 1082 Highway 3 S, Northfield, MN 55057-3088 | 2019-12-21 |
| 1770120933 | Dr. Lisa Etherapy | Psychiatry & Neurology | 3539 Douglas Dr N, Minneapolis, MN 55422-2415 | 2019-12-06 |
| 1225673411 | Osetohamen Elizabeth Agene | Psychiatry & Neurology | 5701 Shingle Creek Pkwy Ste 115, Minneapolis, MN 55430-2485 | 2019-11-12 |
| 1700319456 | Kristin Nguyen | Psychiatry & Neurology | 1301 W Center St, Rochester, MN 55902-0333 | 2017-04-10 |
| 1295198539 | Daniel Janiczak | Psychiatry & Neurology | 701 Park Ave. B5 118, Hencepin County Medical Center Department of Psychiatry, Minneapolis, MN 55415 | 2016-04-04 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.