Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum Sole proprietor

Carilyn Claire Ellis, PSYD, MSCP

Psychologist in Salem, OR · enumerated 2015 · practices at Autumn Leaf Therapeutic Services.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1962888388

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Registry record

Entity type Individual (Type 1)

Name Carilyn Claire Ellis

Credential PSYD, MSCP

Sex Female

Practice address Salem, OR, 97305

Phone (503) 856-6430

Fax (503) 877-1920

Enumeration date Aug 7, 2015

Last updated in NPPES Mar 5, 2020

Street address withheld: NPPES sole-proprietor addresses can be home addresses. See our data policy.

Taxonomy & licenses

103TB0200X Cognitive & Behavioral Psychologist Behavioral Health & Social Service Providers · License 2595 (OR) Secondary

103TC0700X Clinical Psychologist Behavioral Health & Social Service Providers · License 2595 (OR) Secondary

103TH0004X Health Psychologist Behavioral Health & Social Service Providers · License 2595 (OR) Secondary

103TP2701X Group Psychotherapy Psychologist Behavioral Health & Social Service Providers · License 2595 (OR) Secondary

103T00000X Psychologist Behavioral Health & Social Service Providers · License 2595 (OR) Primary

PSYD · Doctor of Psychology: A clinical doctorate in psychology focused on professional practice. About the PSYD credential

Other identifiers

Identifier	Type	State	Issuer
R185419	Other	OR	MEDICARE

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How do I verify Carilyn Ellis's NPI record?

Cross-check NPI 1962888388 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

Is NPI 1962888388 active?

Yes, as of the latest NPPES snapshot, NPI 1962888388 is active (record last updated 2020-03-05).

Other providers at this practice address

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Autumn Leaf Therapeutic Services Community/Behavioral Health Agency · Salem, OR NPI 1689209371

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-03-05.