MIKALA L. SACCOMAN, PHD, LLC
NPI 1164180683
Psychologist in Bend, OR

Active since December 01, 2021
497 SW CENTURY DR STE 104, BEND, OR 97702(541) 678-5174(541) 678-5017 Get Directions Write a Review

NPPES record last updated: December 1, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mikala L. Saccoman, Phd, Llc NPPES

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

MIKALA L. SACCOMAN, PHD, LLC (NPI 1164180683) is a healthcare organization registered as a psychologist in Bend, Oregon and active in the NPI registry since December 2021. The organization maintains a secondary practice location in Bend and lists Mikala L Saccoman, Owner, as its authorized official.

NPPES Registry Identity

NPI1164180683
Entity TypeOrganization
Primary Taxonomy103T00000X
Legal Business NameMIKALA L. SACCOMAN, PHD, LLC
Location Address497 SW CENTURY DR STE 104Bend, OR 97702-1167
Mailing Address497 Sw Century Dr Ste 104Bend, OR 97702-1167 · (541) 678-5174 · Fax (541) 678-5017
Fax(541) 678-5017
Organization SubpartNo
Authorized OfficialMikala L SaccomanOwner · (541) 678-5174
Enumeration DateDecember 1, 2021
NPPES CertifiedDecember 1, 2021
NPI 1164180683 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
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 ListedClinical NeuropsychologistTaxonomy 103G00000X
497 SW CENTURY DR STE 104, Bend, OR 97702

Secondary Practice Location 1

Location 1497 SW Century Dr Ste 102Bend, OR 97702-1167 · Phone (541) 678-5174 · Fax (541) 678-5017

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Mikala L. Saccoman, Phd, LLC's NPI number?

The NPI number for Mikala L. Saccoman, Phd, LLC is 1164180683. It was assigned to this organization in the NPPES registry on December 1, 2021.

Where is Mikala L. Saccoman, Phd, LLC located?

Mikala L. Saccoman, Phd, LLC is located at 497 SW Century Dr Ste 104, Bend, OR 97702. The listed phone number is (541) 678-5174.

What is Mikala L. Saccoman, Phd, LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Mikala L. Saccoman, Phd, LLC was last updated on December 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.