Scott Thomas Alvord, PSYD
Individual provider Active NPI Psychologist · Aurora, OR
NPI 1013245455 · NPPES record last updated Nov 23, 2009
Key facts
- NPI
- 1013245455
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychologist 103T00000X
- License
- 1929 (OR)
- Practice address
- 23765 3Rd St NE
Aurora, OR 97002-9606 - Phone
- (503) 476-5005
- NPI assigned
- Nov 23, 2009
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Clinical Psychologist
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Psych NW, PC
Practice addresses (Care Compare)
4068 Hudson Ave NE
Salem, OR 97301-5142
Phone (503) 877-0711
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190718002913 | OR | Practitioner - Clinical Psychologist | 6002141686 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 1929 | OR | Yes |
Addresses
Primary practice location
23765 3Rd St NE
Aurora, OR 97002-9606
Mailing address
23765 3Rd St NE
Aurora, OR 97002-9606
Phone (503) 476-5005
Other providers in Aurora, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 23, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.