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DR. ELLEN F WILSON PH.D.
NPI 1588730097
Psychologist - Clinical in Cambridge, MA

Active since November 27, 2006Opted out of Medicare · through Jan 1, 2027
143 MOUNT AUBURN ST, CAMBRIDGE, MA 02138(617) 354-3611(617) 864-9136 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Ellen F Wilson Ph.d. NPPES

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

DR. ELLEN F WILSON PH.D. (NPI 1588730097) is an individual clinical provider in Cambridge, Massachusetts, licensed in Massachusetts (512) and active in the NPI registry since November 2006. She has opted out of Medicare through January 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1588730097
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. ELLEN F WILSONCredential: PH.D.
Location Address143 MOUNT AUBURN STCambridge, MA 02138-5725
Mailing Address143 Mount Auburn StCambridge, MA 02138-5725 · (617) 354-3611 · Fax (617) 864-9136
Phone(617) 354-3611
Fax(617) 864-9136
Sole ProprietorYes
Enumeration DateNovember 27, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1588730097 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in MA · 512
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.
143 MOUNT AUBURN ST, Cambridge, MA 02138
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Dr. Ellen F Wilson 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 January 1, 2017 through January 1, 2027.

Opt-Out Effective DateJanuary 1, 2017
Opt-Out In Effect ThroughJanuary 1, 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 02138 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
$189.86 typical visit price
range $63.72 – $189.86
Typical copayment $47.46 (range $15.93 – $47.46)
Most-billed visit code 99205
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
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 Ellen Wilson's NPI number?

The NPI number for Ellen Wilson is 1588730097. It was assigned to this individual provider in the NPPES registry on November 27, 2006.

Where is Ellen Wilson located?

Ellen Wilson practices at 143 Mount Auburn St, Cambridge, MA 02138. The listed phone number is (617) 354-3611.

What is Ellen Wilson's specialty?

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

Is Ellen Wilson enrolled in Medicare?

No. Ellen Wilson has opted out of Medicare through January 1, 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.

What insurance does Ellen Wilson accept?

Health plans from Anthem Blue Cross and Blue Shield list Ellen Wilson 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 Ellen Wilson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.