LAUREN D POTH PH.D.
NPI 1114376449
Clinical Neuropsychologist in Corvallis, OR

Q: What is Lauren Poth's NPI number?

The NPI number for Lauren Poth is 1114376449. It was assigned to this individual provider in the NPPES registry on June 7, 2016. The provider is also known as Lauren Ruth Doyle.

Q: What is Lauren Poth's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Q: When was this NPI record last updated?

The NPPES record for Lauren Poth was last updated on August 31, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since June 07, 2016PECOS Enrolled

444 NW ELKS DR, CORVALLIS, OR 97330(505) 695-9353(858) 966-6733 Get Directions Write a Review

NPPES record last updated: August 31, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 31, 2022, May 13, 2022, Apr 26, 2022 (3 updates tracked since 2022).

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About Lauren D Poth Ph.d. NPPES

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

LAUREN D POTH PH.D. (NPI 1114376449) is an individual clinical neuropsychologist in Corvallis, Oregon, licensed in Oregon (3537) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114376449

Entity TypeIndividualFemale

Primary Taxonomy103G00000X

Provider Legal NameLAUREN D POTHCredential: PH.D.

Location Address444 NW ELKS DRCorvallis, OR 97330-3745

Mailing Address444 Nw Elks DrCorvallis, OR 97330-3745 · (505) 695-9353

Phone(505) 695-9353

Fax(858) 966-6733

Sole ProprietorNo

Enumeration DateJune 7, 2016

Last NPPES UpdateAugust 31, 20223 updates tracked since enumeration

NPPES CertifiedAugust 31, 2022

✔ NPI 1114376449 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers

Taxonomy Code103G00000X

License✔ Licensed in OR · 3537

Definition

A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

444 NW ELKS DR, Corvallis, OR 97330

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Other Names 1

Former Name (1)Lauren Ruth Doyle

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lauren D Poth Ph.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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Other Providers at the Same Location NPPES 20

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

TYLER J LIGHT

Student in an Organized Health Care Education/Training Program