Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1962888388 Individual Practitioner Female Practitioner

Dr. Carilyn Claire Ellis , PsyD, MSCP

Psychologist • Salem, OR

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Carilyn Ellis, PsyD, MSCP is a certified Psychologist practicing in Salem, OR. With approximately 12 years of clinical experience since completing medical education in 2014, Dr. Ellis delivers high-quality medical care to the local community at 3857 WOLVERINE ST NE STE 6.

Dr. Ellis accepts Medicare assignment.

Frequently performed procedures and clinical services include psychotherapy. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3857 Wolverine St Ne Ste 6

Salem, OR 973054274

Telephone 5038566430
Fax 5038771920
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2014

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Salem, OR

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
12 Yrs -6.7 yrs vs City Avg
City Avg: 18.7 Yrs
State Avg: 18.9 Yrs
Regional Practice Density
46 Specialists

Practicing in Salem, OR (780 Statewide)

Telehealth Adoption Rate
4.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
17.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Ellis (12 Years) 12 Yrs
Salem Specialty Average (18.7 Years) 18.7 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2021)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
90834 Psychotherapy, 45 minutes
112 11 $125.00 $98.90
90832 Psychotherapy, 30 minutes
24 13 $76.46 $68.25

Medical Specialties & State Licenses

CMS Verified: 2020-03-05
Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License OR 2595

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.

Psychologist - Cognitive & Behavioral

NUCC Taxonomy Code: 103TB0200X

State License OR 2595

A psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking.

Psychologist - Clinical

NUCC Taxonomy Code: 103TC0700X

State License OR 2595

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Psychologist - Health

NUCC Taxonomy Code: 103TH0004X

State License OR 2595

A psychologist who specializes in clinical health psychology that investigates and implements clinical services across diverse populations and settings to promote health and well-being and to prevent, treat, and manage illness and disability. Clinical health psychology sees health as the confluence of psychological, social, cultural, and biological factors and applies this understanding to professional activities including:<br/>* Research<br/>* Clinical service<br/>* Consulting with, educating, and supervising other health care providers and psychologists<br/>* Advising organizations, institutions, the public, and policymakers

Psychologist - Group Psychotherapy

NUCC Taxonomy Code: 103TP2701X

State License OR 2595

A psychologist who specializes in group psychology and group psychotherapy that is an evidenced-based specialty that prepares group leaders to identify and capitalize on developmental and healing possibilities embedded in the interpersonal/intrapersonal functioning of individual group members as well as collectively for the group. Emphasis is placed on the use of group dynamics to assist and treat individual group members. The specialty is applicable to all age groups, children, adolescents, adults and older adults, for a wide variety of conditions and concerns, and in numerous and diverse settings.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Medicare
R185419 (OR)

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location August 14, 2019

Registered at 3857 WOLVERINE ST NE STE 6, SALEM, OR 973054274 (Tel: 5038566430)

👤
Provider Name / Credentials Updated August 14, 2019

Recorded as CARILYN ELLIS, PSYD, MSCP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 14, 2019

Psychologist (License #2595 in OR)

NPI Profile Active February 18, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location February 18, 2016

Registered at 920 SW RANGE DRIVE, WALDPORT, OR 973943035 (Tel: 5415633197)

📍
Updated Business Mailing Address February 18, 2016

Registered at 920 SW RANGE DRIVE, WALDPORT, OR 973943035 (Tel: 5415633197)

👤
Provider Name / Credentials Updated February 18, 2016

Recorded as CARILYN ELLIS, PSYD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 18, 2016

Psychologist (License #2595 in OR)

🟢
Initial NPI Registration & Enumeration August 07, 2015

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: 1962888388
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 07, 2015
Last Update: March 05, 2020
Sole Proprietor: Yes

Mailing Address

920 Sw Range Drive

Waldport, OR 973943035

Phone: 5415633197

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.