Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1912745472 Individual Practitioner Female Practitioner

Nicquelette Ellison

Psychologist • Tyler, TX

Professional Overview & Biography Verified Profile Summary

Nicquelette Ellison is a registered healthcare professional specializing in Psychologist in Tyler, TX. Practice services are available at 2830 W GRANDE BLVD APT 3102 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2830 W Grande Blvd Apt 3102

Tyler, TX 757033392

Telephone 8139195860

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Tyler, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 31.3 Yrs
State Avg: 22.8 Yrs
Regional Practice Density
15 Specialists

Practicing in Tyler, TX (2266 Statewide)

Telehealth Adoption Rate
13.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-10-08
Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 08, 2025

Psychologist

NPI Profile Active July 18, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location July 18, 2024

Registered at 2830 W GRANDE BLVD APT 3102, TYLER, TX 757033392 (Tel: 8139195860)

📍
Updated Business Mailing Address July 18, 2024

Registered at 2830 W GRANDE BLVD APT 3102, TYLER, TX 757033392 (Tel: 8139195860)

👤
Provider Name / Credentials Updated July 18, 2024

Recorded as NICQUELETTE ELLISON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 18, 2024

Counselor

🟢
Initial NPI Registration & Enumeration July 18, 2024

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1912745472
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 18, 2024
Last Update: October 08, 2025
Sole Proprietor: No

Mailing Address

2830 W Grande Blvd Apt 3102

Tyler, TX 757033392

Phone: 8139195860

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.