ELISE R MCKELVEY
NPI 1063157063
Psychologist - Health in Columbia, SC

Active since May 03, 2022Opted out of Medicare · through Jun 26, 2028
2401 WILMOT AVE, COLUMBIA, SC 29205(803) 673-6221 Get Directions Write a Review

NPPES record last updated: January 29, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Jan 29, 2026, May 3, 2022 (2 updates tracked since 2022).

About Elise R Mckelvey NPPES

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

ELISE R MCKELVEY (NPI 1063157063) is an individual health provider in Columbia, South Carolina and active in the NPI registry since May 2022. She has opted out of Medicare through June 26, 2028 and is a graduate of Other (2023).

NPPES Registry Identity

NPI1063157063
Entity TypeIndividualFemale
Primary Taxonomy103TH0004X
Provider Legal NameELISE R MCKELVEY
Location Address2401 WILMOT AVEColumbia, SC 29205-2352
Mailing Address2401 Wilmot AveColumbia, SC 29205-2352 · (803) 673-6221
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateMay 3, 2022
Last NPPES UpdateJanuary 29, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 29, 2026
NPI 1063157063 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · HealthBehavioral Health & Social Service Providers
Taxonomy Code103TH0004X
Definition
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:
2401 WILMOT AVE, Columbia, SC 29205

Other Names 1

Other Name (5)Elizabeth Mckelvey

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Elise R Mckelvey has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from June 26, 2026 through June 26, 2028.

Opt-Out Effective DateJune 26, 2026
Opt-Out In Effect ThroughJune 26, 2028Opt-out affidavits renew automatically every two years unless cancelled

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 Mckelvey's NPI number?

The NPI number for Elise Mckelvey is 1063157063. It was assigned to this individual provider in the NPPES registry on May 3, 2022. The provider is also known as Elizabeth Mckelvey.

Where is Elise Mckelvey located?

Elise Mckelvey practices at 2401 Wilmot Ave, Columbia, SC 29205. The listed phone number is (803) 673-6221.

What is Elise Mckelvey's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Health, with taxonomy code 103TH0004X.

Is Elise Mckelvey enrolled in Medicare?

No. Elise Mckelvey has opted out of Medicare through June 26, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Elise Mckelvey was last updated on January 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.