DR. ELENA MAYVILLE PH.D.
NPI 1437446176
Psychologist - Clinical in Boise, ID

Q: What is Elena Mayville's NPI number?

The NPI number for Elena Mayville is 1437446176. It was assigned to this individual provider in the NPPES registry on July 1, 2011.

Q: What is Elena Mayville's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: Is Elena Mayville enrolled in Medicare?

No. Elena Mayville has opted out of Medicare through December 11, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Elena Mayville was last updated on June 27, 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.

Active since July 01, 2011Opted out of Medicare · through Dec 11, 2027

1004 W FORT ST, BOISE, ID 83702(212) 254-3967 Get Directions Write a Review

NPPES record last updated: June 27, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 26, 2019, May 15, 2019 (2 updates tracked since 2019).

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About Dr. Elena Mayville Ph.d. NPPES

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

DR. ELENA MAYVILLE PH.D. (NPI 1437446176) is an individual clinical provider in Boise, Idaho, licensed in New York (021223) and active in the NPI registry since July 2011. She has opted out of Medicare through December 11, 2027 and remains eligible to order and refer and maintains a secondary practice location in New York.

NPPES Registry Identity

NPI1437446176

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. ELENA MAYVILLECredential: PH.D.

Location Address1004 W FORT STBoise, ID 83702-5427

Mailing Address1004 W Fort StBoise, ID 83702-5427

Phone(212) 254-3967

Sole ProprietorYes

Enumeration DateJuly 1, 2011

Last NPPES UpdateJune 27, 20232 updates tracked since enumeration

NPPES CertifiedFebruary 4, 2022

✔ NPI 1437446176 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

Licenses✔ Licensed in NY · 021223✔ Licensed in ID · 203487

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

1004 W FORT ST, Boise, ID 83702

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Secondary Practice Location 1

Location 1425 E 61st St Ph FloorNew York, NY 10065-8722 · Phone (212) 821-0714

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Elena Mayville Ph.d. 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 December 11, 2017 through December 11, 2027.

Opt-Out Effective DateDecember 11, 2017

Opt-Out In Effect ThroughDecember 11, 2027Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83702 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$160.17 typical visit price

range $52.44 – $160.17

Typical copayment $40.04 (range $13.11 – $40.04)

Most-billed visit code 99205

Established Patient

$93.26 typical visit price

range $16.68 – $130.93

Typical copayment $23.31 (range $4.17 – $32.73)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Elena Mayville's NPI number?

The NPI number for Elena Mayville is 1437446176. It was assigned to this individual provider in the NPPES registry on July 1, 2011.

Where is Elena Mayville located?

Elena Mayville practices at 1004 W Fort St, Boise, ID 83702. The listed phone number is (212) 254-3967.

What is Elena Mayville's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Elena Mayville enrolled in Medicare?

No. Elena Mayville has opted out of Medicare through December 11, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Elena Mayville was last updated on June 27, 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.