MID VALLEY COUNSELING CENTER INC NPI 1407039308

Psychologist (Clinical) in Salem, OR

NPI 1407039308 Organization Psychologist Clinical

About MID VALLEY COUNSELING CENTER INC

Mid Valley Counseling Center Inc is a provider established in Salem, Oregon specializing in psychologist (clinical) . The NPI number of Mid Valley Counseling Center Inc is 1407039308 and was assigned on December 2007. The practitioner's primary taxonomy code is 103TC0700X. The provider is registered as an organization and their NPI record was last updated 7 years ago. Mid Valley Counseling Center Inc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Mr. Gailen L Keeling (Secretary/treasurer Of Mvcc)

A clinical psychologist like Mid Valley Counseling Center Inc assesses, diagnoses, and treats mental, emotional, and behavioral disorders. Clinical psychologists help people deal with problems ranging from short-term personal issues to severe, chronic conditions. Clinical psychologists interview patients, give diagnostic tests, provide psychotherapy and design behavior modification programs to help patients.

NPI

1407039308

Provider NameMID VALLEY COUNSELING CENTER INC
Provider Location Address2250 D ST NE SALEM, OR 97301
Provider Mailing Address2250 D ST NE SALEM, OR 97301
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date12-13-2007
Last Update Date12-16-2014


Primary Taxonomy

Taxonomy Code103TC0700X
ClassificationPsychologist
TypeBehavioral Health & Social Service Providers
SpecializationClinical
Taxonomy DescriptionA psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Business Address

MID VALLEY COUNSELING CENTER INC
2250 D ST NE
SALEM, OR
ZIP 97301
Phone: (503) 364-6093
Fax: (503) 364-5121

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Mailing Address

MID VALLEY COUNSELING CENTER INC
2250 D ST NE
SALEM, OR
ZIP 97301
Phone: (503) 364-6093
Fax: (503) 364-5121



Authorized Official

Authorized Official NameMR. GAILEN L KEELING
Authorized Official TitleSECRETARY/TREASURER OF MVCC
Authorized Official Phone(503) 364-6093

Group Taxonomy


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

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthNo

Taxonomy Description: Not Available

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
R0000WCBBBMEDICARE PIN (08)OR

Other Providers at the same location


The following 18 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1558464958 DIANE ARLENE STARKENBURG PSYD
Individual
Psychologist (Clinical)2250 D ST NE
SALEM, OR 97301
(503) 364-6093
1386719755 B SCOT COOK PSY D CLINICAL PSYCH
Individual
Psychologist (Clinical)2250 D ST NE
SALEM, OR 97301
(503) 364-6093
1639244015 ARVILLA MARIE CLAUSSEN PMHNP
Individual
Nurse Practitioner (Psychiatric/Mental Health)2250 D ST NE
SALEM, OR 97301
(503) 364-6093
1831264217 ELIZABETH B HAMILTON PHD CLINICAL PSYCH
Individual
Psychologist2250 D ST NE
SALEM, OR 97301
(503) 364-6093
1841365210 PAUL STEPHAN STOLTZFUS PSYD
Individual
Psychologist (Clinical)2250 D ST NE
SALEM, OR 97301
(503) 364-6093
1891860276 LESLEY LYNN ARLE PMHNP
Individual
Nurse Practitioner (Psychiatric/Mental Health)2250 D ST NE
SALEM, OR 97301
(503) 364-6093
1700951183 WAYNE C PALMER PHD
Individual
Psychologist (Clinical)2250 D ST NE
SALEM, OR 97301
(503) 364-6093
1245307354 KEITH A SWANSON PSYD
Individual
Psychologist (Clinical)2250 D ST NE
SALEM, OR 97301
(503) 364-6093
1154498269 RANDALL L GREEN PHD CLINICAL PSYCHOL
Individual
Psychologist (Clinical)2250 D ST NE
SALEM, OR 97301
(503) 364-6093
1851416473DR. ADAM GARRETT FENSKE PSYD
Individual
Psychologist (Clinical)2250 D ST NE
SALEM, OR 97301
(503) 364-6093
1346466935MS. MARY JO ATHERTON RN, PMHNP
Individual
Nurse Practitioner (Psychiatric/Mental Health)2250 D ST NE
SALEM, OR 97301
(503) 364-6093
1609037241DR. SUSAN J. HALL PSY.D.
Individual
Psychologist (Clinical)2250 D ST NE
SALEM, OR 97301
(503) 364-6093
1659663417DR. SHAILAGH M CLARKE PH.D.
Individual
Psychologist (Counseling)2250 D ST NE
SALEM, OR 97301
(503) 364-6093
1982738498DR. JOEL ALEXANDER GREGOR PSY.D.
Individual
Psychologist (Clinical)2250 D ST NE
SALEM, OR 97301
(503) 364-6093
1205901675 WILLIAM W DAVIS PSY D CLINICAL PSYCH
Individual
Psychologist (Clinical)2250 D ST NE
SALEM, OR 97301
(503) 364-6093
1679756068CHRISTINA L ZAMPICH A PROFESSIONAL PSYCH CORP
Organization
Psychologist (Clinical)2250 D ST NE
SALEM, OR 97301
(503) 364-6093
1639509888MR. MICHAEL P TREMKO PMHNP-BC
Individual
Nurse Practitioner (Psychiatric/Mental Health)2250 D ST NE
SALEM, OR 97301
(503) 364-6093
1043655426DR. CARLOS A TALOYO PHD
Individual
Psychologist (Clinical)2250 D ST NE
SALEM, OR 97301
(503) 364-6093

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.