ELISE NOEL BASCOM PH.D.
NPI 1043853948
Psychologist in Eugene, OR

Active since October 23, 2019PECOS EnrolledAccepts Medicare Assignment
1551 PEARL ST, EUGENE, OR 97401(541) 517-9733 Get Directions Write a Review

NPPES record last updated: February 15, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 15, 2023, Oct 25, 2019 (2 updates tracked since 2019).

About Elise Noel Bascom Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELISE NOEL BASCOM PH.D. (NPI 1043853948) is an individual psychologist in Eugene, Oregon, licensed in Oregon (3154) and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1043853948
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameELISE NOEL BASCOMCredential: PH.D.
Location Address1551 PEARL STEugene, OR 97401-4010
Mailing Address1551 Pearl StEugene, OR 97401-4010 · (541) 517-9733
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateOctober 23, 2019
Last NPPES UpdateFebruary 15, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 15, 2023
NPI 1043853948 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in OR · 3154
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.
1551 PEARL ST, Eugene, OR 97401

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Elise Noel Bascom Ph.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5799118352
PECOS Enrollment IDI20191212001197
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist (Clinical)
1551 PEARL ST
EUGENE, OR 97401
Psychologist (Counseling)
1551 PEARL ST
EUGENE, OR 97401
Social Worker (Clinical)
1551 PEARL ST
EUGENE, OR 97401
Counselor (Mental Health)
1551 PEARL ST
EUGENE, OR 97401
Social Worker (Clinical)
1551 PEARL ST
EUGENE, OR 97401
Community/Behavioral Health
1551 PEARL ST
EUGENE, OR 97401
Social Worker (Clinical)
1551 PEARL ST
EUGENE, OR 97401
Psychologist (Clinical)
1551 PEARL ST
EUGENE, OR 97401

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Elise Bascom's NPI number?

The NPI number for Elise Bascom is 1043853948. It was assigned to this individual provider in the NPPES registry on October 23, 2019.

Where is Elise Bascom located?

Elise Bascom practices at 1551 Pearl St, Eugene, OR 97401. The listed phone number is (541) 517-9733.

What is Elise Bascom's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Elise Bascom enrolled in Medicare?

Yes. Elise Bascom is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Elise Bascom accept?

Health plans from BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon list Elise Bascom as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Elise Bascom was last updated on February 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.