Active NPI
Emilie Lenora Elick, PSYD
- Clinical Psychologist
- F.E. Warren Afb, WY
National Provider Identifier
1407376999
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 837
- Practice address
- 6900 Alden Drive
BLDG 160
F.E. Warren Afb, WY 82005-3913 - Phone
- (307) 773-2998
- NPI assigned
- Jun 26, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 837 | WY | Primary |
Addresses
Primary practice location
6900 Alden Drive
BLDG 160
F.E. Warren Afb, WY 82005-3913
Mailing address
6900 Alden Drive
BLDG 160
F.E. Warren Afb, WY 82005-3913
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 837 | WY | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727827200000",
"number": "1407376999",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6900 ALDEN DRIVE",
"address_2": "BLDG 160",
"city": "F.E. WARREN AFB",
"state": "WY",
"postal_code": "820053913"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6900 ALDEN DRIVE",
"address_2": "BLDG 160",
"city": "F.E. WARREN AFB",
"state": "WY",
"postal_code": "820053913",
"telephone_number": "307-773-2998"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELICK",
"first_name": "EMILIE",
"middle_name": "LENORA",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-26",
"last_updated": "2024-10-02",
"certification_date": "2024-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "WY",
"license": "837",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in F.E. Warren Afb, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.