Individual provider Active NPI

Elizabeth A Sawyer Scovel, PHD

  • Clinical Psychologist
  • Vancouver, WA
National Provider Identifier
1093817991
Registry record updated Aug 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY2986 Issued in WA
Practice address
2400 Main St
Vancouver, WA 98660-2663
Phone
(360) 574-9565
Fax
(360) 574-9685
NPI assigned
Sep 1, 2006
Last updated
Aug 31, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PY2986 WA Primary

Addresses

Primary practice location

2400 Main St
Vancouver, WA 98660-2663

Mailing address

2400 Main St
Vancouver, WA 98660-2663
Phone (360) 574-9565

Other identifiers 1

IdentifierTypeStateIssuer
8387185MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040510000615 WA Practitioner - Clinical Psychologist 3072502616 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

10000 NE 7TH Ave
Suite 215
Vancouver, WA 98685-4542
Phone (360) 574-9565

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PY2986WAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Geromedical Psychological Service PS Clinical CurrentSince Jan 1, 2005 Accepting new patients
Geromedical Psychological Service PS Clinical CurrentSince Oct 1, 2005 Accepting new patients

Locations

740 NE Dallas St
Camas, WA 98607
Phone 36073571552058

10000 NE 7th Ave
Ste 215
Vancouver, WA 98685
Phone (360) 574-9595

2400 Main St
Vancouver, WA 98660

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598832000000",
    "number": "1093817991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 MAIN ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986602663",
            "telephone_number": "360-574-9565",
            "fax_number": "360-574-9685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 MAIN ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986602663",
            "telephone_number": "360-574-9565",
            "fax_number": "360-574-9685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAWYER SCOVEL",
        "first_name": "ELIZABETH",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-01",
        "last_updated": "2020-08-31",
        "certification_date": "2020-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "PY2986",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8387185",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

Verify at the official NPI Registry.