MIKALA SACCOMAN PHD
NPI 1396014759
Psychologist in Bend, OR

Active since December 14, 2011
497 SW CENTURY DR, STE 104, BEND, OR 97702(541) 678-5174 Get Directions Write a Review

NPPES record last updated: January 19, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mikala Saccoman Phd NPPES

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

MIKALA SACCOMAN PHD (NPI 1396014759) is an individual psychologist in Bend, Oregon and active in the NPI registry since December 2011.

NPPES Registry Identity

NPI1396014759
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameMIKALA SACCOMANCredential: PHD
Location Address497 SW CENTURY DR, STE 104Bend, OR 97702-1167
Mailing Address497 Sw Century DrBend, OR 97702-1167 · (541) 678-5174
Sole ProprietorNo
Enumeration DateDecember 14, 2011
Last NPPES UpdateJanuary 19, 2016
NPI 1396014759 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
497 SW CENTURY DR, Bend, OR 97702

Other Identifiers 2

OtherR166086OR · Medicare Ptan
Medicaid500647410OR

Accepted Insurance

Other Providers at the Same Location NPPES 7

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

Obstetrics & Gynecology (Gynecology)
497 SW CENTURY DR, SUITE 120
BEND, OR 97702
Specialist
497 SW CENTURY DR, SUITE 120
BEND, OR 97702
In Home Supportive Care
497 SW CENTURY DR, SUITE 102
BEND, OR 97702
Pain Medicine (Pain Medicine)
497 SW CENTURY DR, UNIT # 105
BEND, OR 97702
Chiropractor
497 SW CENTURY DR, SUITE 120
BEND, OR 97702
Clinical Neuropsychologist
497 SW CENTURY DR, STE 104
BEND, OR 97702
Obstetrics & Gynecology
497 SW CENTURY DR, SUITE 120
BEND, OR 97702

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 Saccoman's NPI number?

The NPI number for Mikala Saccoman is 1396014759. It was assigned to this individual provider in the NPPES registry on December 14, 2011.

Where is Mikala Saccoman located?

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

What is Mikala Saccoman's specialty?

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

What insurance does Mikala Saccoman accept?

Health plans from Providence Health Plan list Mikala Saccoman 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 Mikala Saccoman was last updated on January 19, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.