Individual provider Active NPI

Carlos A Taloyo, PHD

  • Clinical Psychologist
  • Salem, OR
National Provider Identifier
1043655426
Registry record updated Oct 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1799 Issued in OR
Practice address
2250 D St NE
Salem, OR 97301-2768
Phone
(503) 364-6093
Fax
(503) 364-5121
NPI assigned
Apr 30, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 1799 OR Primary

Addresses

Primary practice location

2250 D St NE
Salem, OR 97301-2768

Mailing address

3000 Market St NE Ste 426
Salem, OR 97301-1894
Phone (503) 406-3028

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130729000500 OR Practitioner - Clinical Psychologist 1456592781 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Mid Valley Counseling Center Inc Clinical CurrentSince Jun 15, 2013 Accepting new patients
Dr Taloyo LLC Clinical CurrentSince Dec 1, 2018 Accepting new patients

Locations

3000 Market St NE
Ste 426
Salem, OR 97301
Phone (971) 304-7255

2601 25th St SE
Ste 420
Salem, OR 97302
Phone (503) 364-6093

2493 State St
Salem, OR 97301
Phone (503) 371-2890

2250 D St NE
Salem, OR 97301
Phone (503) 364-6093

4742 Liberty Rd S
Salem, OR 97302
Phone (503) 400-7500

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1367280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540425600000",
    "number": "1043655426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 MARKET ST NE STE 426",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973011894",
            "telephone_number": "503-406-3028",
            "fax_number": "509-357-9788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2250 D ST NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973012768",
            "telephone_number": "503-364-6093",
            "fax_number": "503-364-5121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TALOYO",
        "first_name": "CARLOS",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-04-30",
        "last_updated": "2018-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OR",
            "license": "1799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, OR

Sources for this page

Verify at the official NPI Registry.