Alan Ickowitz, Psy.D., P.a.
Organization Active NPI Clinical Psychologist · Tampa, FL
NPI 1861510091 · NPPES record last updated Sep 11, 2025
Key facts
- NPI
- 1861510091
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- PY5649 (FL)
- Legal business name
- ALAN ICKOWITZ, PSY.D., P.A.
- Practice address
- 6105 Memorial Hwy
Ste B
Tampa, FL 33615-4597 - Phone
- (813) 814-9839
- Fax
- (813) 200-1044
- NPI assigned
- Mar 26, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Alan Y Ickowitz, PSY.D.
- Title
- President
- Phone
- (813) 814-9839
Practitioners 1
-
Alan Y Ickowitz, PSY.D.
National Provider Directory
Locations
6105 Memorial Hwy
Ste B
Tampa, FL 33615
Phone (813) 814-9839
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist |
103T00000X | PY5649 | FL | |
| Addiction (Substance Use Disorder) Psychologist |
103TA0400X | PY5649 | FL | |
| Clinical Psychologist |
103TC0700X | PY5649 | FL | Yes |
Addresses
Primary practice location
6105 Memorial Hwy
Ste B
Tampa, FL 33615-4597
Mailing address
6105 Memorial Hwy
Ste B
Tampa, FL 33615-4597
Phone (813) 814-9839
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.