Active NPI
Daryl Bryce Downey, M.D.
- Child & Adolescent Psychiatry Physician
- Corvallis, OR
National Provider Identifier
1023167061
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- 15902
- Practice address
- 2075 NW Grant Ave
Corvallis, OR 97330-4366 - Phone
- (541) 758-5365
- NPI assigned
- Jan 9, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | 15902 | OR | Primary |
Addresses
Primary practice location
2075 NW Grant Ave
Corvallis, OR 97330-4366
Mailing address
2075 NW Grant Ave
Corvallis, OR 97330-4366
Phone (541) 758-5365
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0002315 | Other | CHAMPUS | |
| J3050 | Other | OR | PACIFICSOURCE PIN |
| 063172 | Other | OR | OMAP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15902 | OR | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1023167061",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2075 NW GRANT AVE",
"city": "CORVALLIS",
"state": "OR",
"postal_code": "973304366",
"telephone_number": "541-758-5365"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2075 NW GRANT AVE",
"city": "CORVALLIS",
"state": "OR",
"postal_code": "973304366",
"telephone_number": "541-758-5365"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOWNEY",
"first_name": "DARYL",
"middle_name": "BRYCE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "OR",
"license": "15902",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHAMPUS",
"identifier": "0002315",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PACIFICSOURCE PIN",
"identifier": "J3050",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OMAP",
"identifier": "063172",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Corvallis, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.