Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Carilyn Claire Ellis, PSYD, MSCP

Individual provider Cognitive & Behavioral Psychologist · NPI 1962888388

Carilyn Claire Ellis, PSYD, MSCP is a Clinical Psychologist in Salem, Oregon. Qualified in 2014, 12 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
12
Licensed in
OR
In the registry since
2015
Specialties on file
5
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

See every abbreviation used in this directory →

Practice location Address checks out

3857 Wolverine St NE Ste 6
Salem, OR 97305-4274
Phone: (503) 856-6430
Fax: (503) 877-1920
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 2595 (OR)
Cognitive & Behavioral Psychologist Taxonomy 103TB0200X · Licence 2595 (OR)
Clinical Psychologist Taxonomy 103TC0700X · Licence 2595 (OR)
Health Psychologist Taxonomy 103TH0004X · Licence 2595 (OR)
Group Psychotherapy Psychologist Taxonomy 103TP2701X · Licence 2595 (OR)

Record details

NPI number1962888388
Entity typeIndividual (Type 1)
GenderFemale
Credentials PSYD , MSCP
Sole proprietorYes
NPI enumeratedAugust 7, 2015
Last updated in NPPESMarch 5, 2020
Certification dateMarch 5, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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