CORVALLIS NEUROPSYCHOLOGY LLC
NPI 1174028294
Psychologist in Corvallis, OR

Active since March 29, 2018
408 SW MONROE AVE STE M210D, CORVALLIS, OR 97333(541) 216-4747(541) 216-4772 Get Directions Write a Review

NPPES record last updated: August 15, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 15, 2019, Aug 2, 2019, Mar 29, 2018 (3 updates tracked since 2018).

About Corvallis Neuropsychology Llc NPPES

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

CORVALLIS NEUROPSYCHOLOGY LLC (NPI 1174028294) is a healthcare organization registered as a psychologist in Corvallis, Oregon and active in the NPI registry since March 2018. The organization lists Julien Guillaumot, Member/manager, as its authorized official.

NPPES Registry Identity

NPI1174028294
Entity TypeOrganization
Primary Taxonomy103T00000X
Legal Business NameCORVALLIS NEUROPSYCHOLOGY LLC
Location Address408 SW MONROE AVE STE M210DCorvallis, OR 97333-7228
Mailing Address408 Sw Monroe Ave Ste M210dCorvallis, OR 97333-7228 · (541) 216-4747 · Fax (541) 216-4772
Fax(541) 216-4772
Organization SubpartNo
Authorized OfficialJulien GuillaumotMember/manager · (541) 908-0223
Enumeration DateMarch 29, 2018
Last NPPES UpdateAugust 15, 20193 updates tracked since enumeration
NPI 1174028294 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 · 1683
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.
408 SW MONROE AVE STE M210D, Corvallis, OR 97333

Other Identifiers 1

Medicaid278211OR

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

Other Providers at the Same Location NPPES 2

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

Psychologist (Counseling)
408 SW MONROE AVE STE M210D
CORVALLIS, OR 97333
Psychologist
408 SW MONROE AVE STE M210D
CORVALLIS, OR 97333

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 Corvallis Neuropsychology LLC's NPI number?

The NPI number for Corvallis Neuropsychology LLC is 1174028294. It was assigned to this organization in the NPPES registry on March 29, 2018.

Where is Corvallis Neuropsychology LLC located?

Corvallis Neuropsychology LLC is located at 408 SW Monroe Ave Ste M210d, Corvallis, OR 97333. The listed phone number is (541) 216-4747.

What is Corvallis Neuropsychology 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 Corvallis Neuropsychology LLC was last updated on August 15, 2019. 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.