DR. SAMANTHA DOMINGO PSY.D.
NPI 1013336510
Psychologist in Corvallis, OR

Active since April 11, 2014PECOS EnrolledAccepts Medicare Assignment
3521 NW SAMARITAN DR STE 201, CORVALLIS, OR 97330(541) 768-5140 Get Directions Write a Review

NPPES record last updated: November 6, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 6, 2020, Feb 13, 2017 (2 updates tracked since 2017).

About Dr. Samantha Domingo Psy.d. NPPES

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

DR. SAMANTHA DOMINGO PSY.D. (NPI 1013336510) is an individual psychologist in Corvallis, Oregon, licensed in Oregon (2791) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1013336510
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. SAMANTHA DOMINGOCredential: PSY.D.
Location Address3521 NW SAMARITAN DR STE 201Corvallis, OR 97330-4744
Mailing AddressPo Box 1189Corvallis, OR 97339-1189
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateApril 11, 2014
Last NPPES UpdateNovember 6, 20202 updates tracked since enumeration
NPPES CertifiedNovember 6, 2020
NPI 1013336510 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in OR · 2791
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 ListedPsychologist · Cognitive & BehavioralTaxonomy 103TB0200X
3521 NW SAMARITAN DR STE 201, Corvallis, OR 97330

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. Samantha Domingo Psy.d. 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 ID2163794017
PECOS Enrollment IDI20230308000718
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.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
3521 NW SAMARITAN DR STE 201
CORVALLIS, OR 97330
Internal Medicine
3521 NW SAMARITAN DR STE 201
CORVALLIS, OR 97330
Internal Medicine
3521 NW SAMARITAN DR STE 201
CORVALLIS, OR 97330
Internal Medicine (Geriatric Medicine)
3521 NW SAMARITAN DR STE 201
CORVALLIS, OR 97330
Internal Medicine
3521 NW SAMARITAN DR STE 201
CORVALLIS, OR 97330
Internal Medicine
3521 NW SAMARITAN DR STE 201
CORVALLIS, OR 97330
Internal Medicine
3521 NW SAMARITAN DR STE 201
CORVALLIS, OR 97330
Internal Medicine
3521 NW SAMARITAN DR STE 201
CORVALLIS, OR 97330

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 Samantha Domingo's NPI number?

The NPI number for Samantha Domingo is 1013336510. It was assigned to this individual provider in the NPPES registry on April 11, 2014.

Where is Samantha Domingo located?

Samantha Domingo practices at 3521 NW Samaritan Dr Ste 201, Corvallis, OR 97330. The listed phone number is (541) 768-5140.

What is Samantha Domingo's specialty?

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

Is Samantha Domingo enrolled in Medicare?

Yes. Samantha Domingo 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 Samantha Domingo accept?

Health plans from BridgeSpan Health Company, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Samantha Domingo 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 Samantha Domingo was last updated on November 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.