NPI 1699062711 STACY LYNN ELLIS PSYD PORTLAND OR. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Stacy Lynn Ellis - NPI: 1699062711

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: STACY LYNN ELLIS
NPI Number: 1699062711
Entity Type Code: Individual (1)
Gender: F
Credentials: PSYD
License Number: PY60509345
Business Practice Address: 2621 Ne 134th St Ste 340
Vancouver, WA - 986863036
Business Phone Number: 3604500140
Business Fax Number:
Mailing Address: 2204 Se 12th Ave Apt C,
PORTLAND
State: OR
Postal Code: 972145338
Phone Number: 3109915923
Fax Number:
NPI Enumeration Date: 07/10/2011
NPI Last Update Date: 08/17/2015
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 103T00000X
License Number: PY60509345
Healthcare Provider Taxonomy:
(Secondary)
Y
State: WA
Taxonomy Type: Behavioral Health & Social Service Providers
Taxonomy Classification: Psychologist
Taxonomy Specialization:
Taxonomy Definition:
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.


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