DR. ELENA MAYVILLE PH.D.
NPI 1437446176
Psychologist - Clinical in Boise, ID
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
Specialties & Licenses
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.
Secondary Practice Location 1
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.
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.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1437446176, enumerated as an "individual" on July 01, 2011.
The provider is located at 1004 W FORT ST BOISE, ID 83702 and the phone number is (212) 254-3967.
Psychologist with taxonomy code 103TC0700X and a focus in Clinical.
