ERICA D. PRINCE, PHD, LLC
NPI 1033749825
Community/Behavioral Health in Corvallis, OR

Active since January 21, 2020
2945 NW MULKEY AVE, CORVALLIS, OR 97330(541) 753-8684(541) 752-0906 Get Directions Write a Review

NPPES record last updated: January 21, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Erica D. Prince, Phd, Llc NPPES

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

ERICA D. PRINCE, PHD, LLC (NPI 1033749825) is a healthcare organization registered as a community/behavioral health in Corvallis, Oregon and active in the NPI registry since January 2020. The organization lists Erica D Prince, Chairman, as its authorized official.

NPPES Registry Identity

NPI1033749825
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameERICA D. PRINCE, PHD, LLC
Location Address2945 NW MULKEY AVECorvallis, OR 97330-1836
Mailing Address2945 Nw Mulkey AveCorvallis, OR 97330-1836 · (541) 753-8684 · Fax (541) 752-0906
Fax(541) 752-0906
Organization SubpartNo
Authorized OfficialErica D PrinceChairman · (541) 753-8684
Enumeration DateJanuary 21, 2020
✔ NPI 1033749825 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
2945 NW MULKEY AVE, Corvallis, OR 97330

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Erica D. Prince, Phd, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Erica D. Prince, Phd, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Clinical Psychologist
NPI 1992885701
223 SW 8TH ST
Corvallis, OR 97333
(541) 753-8684
✔ PECOS✔ Accepts Medicare1.5 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Erica D. Prince, Phd, LLC's NPI number?

The NPI number for Erica D. Prince, Phd, LLC is 1033749825. It was assigned to this organization in the NPPES registry on January 21, 2020.

Where is Erica D. Prince, Phd, LLC located?

Erica D. Prince, Phd, LLC is located at 2945 NW Mulkey Ave, Corvallis, OR 97330. The listed phone number is (541) 753-8684.

What is Erica D. Prince, Phd, LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Is Erica D. Prince, Phd, LLC enrolled in Medicare?

Yes. Erica D. Prince, Phd, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Erica D. Prince, Phd, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Erica D. Prince, Phd, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Erica D. Prince, Phd, LLC accept?

Health plans from BridgeSpan Health Company and Regence BlueCross BlueShield of Oregon list Erica D. Prince, Phd, LLC 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 Erica D. Prince, Phd, LLC was last updated on January 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.