DR. MARLYSSA RAE FILLMORE PHD
NPI 1831741461
Psychologist in Columbus, IN

Active since July 13, 2019PECOS EnrolledAccepts Medicare Assignment
4980 HUNTERS RUN, COLUMBUS, IN 47201(812) 552-1499 Get Directions Write a Review

NPPES record last updated: October 23, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 21, 2024, Jul 24, 2024, Jul 12, 2024 and 4 more (7 updates tracked since 2019).

About Dr. Marlyssa Rae Fillmore Phd NPPES

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

DR. MARLYSSA RAE FILLMORE PHD (NPI 1831741461) is an individual psychologist in Columbus, Indiana, licensed in Indiana (20043326A) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1831741461
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. MARLYSSA RAE FILLMORECredential: PHD
Location Address4980 HUNTERS RUNColumbus, IN 47201-8499
Mailing Address4020 W Goeller Blvd, Ellie Mental HealthColumbus, IN 47201-8499 · (812) 552-1499
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJuly 13, 2019
Last NPPES UpdateOctober 23, 20247 updates tracked since enumeration
NPPES CertifiedOctober 21, 2024
NPI 1831741461 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in IN · 20043326A
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.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 20043326A (IN)
Also ListedPsychologist · CounselingTaxonomy 103TC1900X · License 20043326A (IN)
Also ListedPsychologist · SchoolTaxonomy 103TS0200X · License 10228724 (IN)
4980 HUNTERS RUN, Columbus, IN 47201

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

Dr. Marlyssa Rae Fillmore Phd 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 ID840615951
PECOS Enrollment IDI20200806002523
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.

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 Marlyssa Fillmore's NPI number?

The NPI number for Marlyssa Fillmore is 1831741461. It was assigned to this individual provider in the NPPES registry on July 13, 2019.

Where is Marlyssa Fillmore located?

Marlyssa Fillmore practices at 4980 Hunters Run, Columbus, IN 47201. The listed phone number is (812) 552-1499.

What is Marlyssa Fillmore's specialty?

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

Is Marlyssa Fillmore enrolled in Medicare?

Yes. Marlyssa Fillmore 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 Marlyssa Fillmore accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and MedMutual and 1 other insurer list Marlyssa Fillmore 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 Marlyssa Fillmore was last updated on October 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.