NPIMap

Organization Active NPI

Julie Evans Bingham PHD, LLC

  • Clinical Psychologist
  • Salem, OR
National Provider Identifier
1013293224
Registry record updated Sep 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1523 Issued in OR
Legal business name
JULIE EVANS BINGHAM PHD, LLC
Practice address
528 Cottage St NE
Suite 1D
Salem, OR 97301-3811
Phone
(503) 584-9923
Fax
(503) 584-0303
NPI assigned
Nov 1, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Julie Evans Bingham, PHDNPI 1245390012
Title
Licensed Clinical Psychologist
Phone
(503) 584-9923

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X 1523 OR Primary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X MD19881 OR
Child & Adolescent Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0804X MD19881 OR

Addresses

Primary practice location

528 Cottage St NE
Suite 1D
Salem, OR 97301-3811

Mailing address

528 Cottage St NE
Suite 1D
Salem, OR 97301-3811
Phone (503) 584-9923

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1320105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346803200000",
    "number": "1013293224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "528 COTTAGE ST NE",
            "address_2": "SUITE 1D",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973013811",
            "telephone_number": "503-584-9923",
            "fax_number": "503-584-0303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "528 COTTAGE ST NE",
            "address_2": "SUITE 1D",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973013811",
            "telephone_number": "503-584-9923",
            "fax_number": "503-584-0303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JULIE EVANS BINGHAM PHD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-01",
        "last_updated": "2012-09-05",
        "status": "A",
        "authorized_official_last_name": "BINGHAM",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "EVANS",
        "authorized_official_title_or_position": "LICENSED CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "503-584-9923",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "OR",
            "license": "1523",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OR",
            "license": "MD19881",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "OR",
            "license": "MD19881",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.