Individual provider · Type 1 NPI

Carilyn Claire Ellis, PSYD, MSCP

Psychologist · Salem, OR

NPI number 1962888388 Active

Practice location

3857 Wolverine St NE Ste 6
Salem, OR 97305-4274

Fax (503) 877-1920

Mailing address

920 SW Range Drive
Waldport, OR 97394-3035

Specialties and licenses

TaxonomyCodeLicense
Cognitive & Behavioral Psychologist 103TB0200X2595 (OR)
Clinical Psychologist 103TC0700X2595 (OR)
Health Psychologist 103TH0004X2595 (OR)
Group Psychotherapy Psychologist 103TP2701X2595 (OR)
Psychologist Primary 103T00000X2595 (OR)

Psychologist: 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 adjustmen…

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About NPI 1962888388

Carilyn Claire Ellis, PSYD, MSCP's National Provider Identifier is 1962888388, issued on Aug 7, 2015. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Salem, OR. The record was last updated on Mar 5, 2020.