SALEM PSYCHOLOGICAL SERVICES LLC
NPI 1063917870
Psychologist in Salem, OR

Active since March 26, 2018
325 13TH ST NE STE 502, SALEM, OR 97301(503) 581-2351(503) 581-0125 Get Directions Write a Review

NPPES record last updated: March 26, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Salem Psychological Services Llc NPPES

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

SALEM PSYCHOLOGICAL SERVICES LLC (NPI 1063917870) is a healthcare organization registered as a psychologist in Salem, Oregon and active in the NPI registry since March 2018. The organization lists James Patrick Mooney, Licensed Psychologist, as its authorized official.

NPPES Registry Identity

NPI1063917870
Entity TypeOrganization
Primary Taxonomy103T00000X
Legal Business NameSALEM PSYCHOLOGICAL SERVICES LLC
Location Address325 13TH ST NE STE 502Salem, OR 97301-2203
Mailing Address325 13th St Ne Ste 502Salem, OR 97301-2203 · (503) 581-2351 · Fax (503) 581-0125
Fax(503) 581-0125
Organization SubpartNo
Authorized OfficialJames Patrick MooneyLicensed Psychologist · (503) 581-2351
Enumeration DateMarch 26, 2018
✔ NPI 1063917870 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License✔ Licensed in OR · OR1088
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.
325 13TH ST NE STE 502, Salem, OR 97301

Other Identifiers 1

Medicaid1629134531OR

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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)

Salem Psychological Services 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 Salem Psychological Services LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Clinical Psychologist
NPI 1629134531
325 13TH ST NE STE 502
Salem, OR 97301
(503) 581-2351
✔ PECOS✔ Accepts MedicareSame address

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 Salem Psychological Services LLC's NPI number?

The NPI number for Salem Psychological Services LLC is 1063917870. It was assigned to this organization in the NPPES registry on March 26, 2018.

Where is Salem Psychological Services LLC located?

Salem Psychological Services LLC is located at 325 13th St NE Ste 502, Salem, OR 97301. The listed phone number is (503) 581-2351.

What is Salem Psychological Services LLC's specialty?

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

Is Salem Psychological Services LLC enrolled in Medicare?

Yes. Salem Psychological Services LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Salem Psychological Services LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Salem Psychological Services 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 Salem Psychological Services LLC accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon list Salem Psychological Services 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 Salem Psychological Services LLC was last updated on March 26, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.