Dr Carolyn Sims Cleveland, PHD - Medicare Psychologist in Ellensburg, WA

Dr Carolyn Sims Cleveland, PHD is a medicare enrolled "Psychologist - Clinical" provider in Ellensburg, Washington. Her current practice location is 400 E University Way, Student Medical And Counseling Clinic, Ellensburg, Washington. You can reach out to her office (for appointments etc.) via phone at (509) 963-1391.

Dr Carolyn Sims Cleveland is licensed to practice in Washington (license number 60549017) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1912380692.

Contact Information

Dr Carolyn Sims Cleveland, PHD
400 E University Way, Student Medical And Counseling Clinic,
Ellensburg, WA 98926-7502
(509) 963-1391
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Carolyn Sims Cleveland
GenderFemale
SpecialityPsychologist - Clinical
Location400 E University Way, Ellensburg, Washington
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1912380692
  • Provider Enumeration Date: 06/30/2015
  • Last Update Date: 04/23/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 2264796655
  • Enrollment ID: I20180511001303

Medical Identifiers

Medical identifiers for Dr Carolyn Sims Cleveland such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1912380692NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical 60549017 (Washington)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Carolyn Sims Cleveland allows following entities to bill medicare on her behalf.
Entity NameValley Psychological Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356842785
PECOS PAC ID: 3274897665
Enrollment ID: O20180511001104

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Carolyn Sims Cleveland is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Carolyn Sims Cleveland, PHD
206 W 1st Ave,
Ellensburg, WA 98926-3002

Ph: (509) 201-1616
Dr Carolyn Sims Cleveland, PHD
400 E University Way, Student Medical And Counseling Clinic,
Ellensburg, WA 98926-7502

Ph: (509) 963-1391

Reviews and Comments


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