Salem Psychological Services LLC

Primary specialty

PsychologistTaxonomy code 103T00000X

License

OR1088 Issued in OR

Legal business name

SALEM PSYCHOLOGICAL SERVICES LLC

Practice address

325 13TH St NE Ste 502
Salem, OR 97301-2203

Phone

(503) 581-2351

Fax

(503) 581-0125

NPI assigned

Mar 26, 2018

Last updated

Mar 26, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. James Patrick Mooney, PH.D.NPI 1629134531

Title

Licensed Psychologist

Phone

(503) 581-2351

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• James Patrick Mooney, PH.D.

  • Psychologist
  • Salem, OR
  • NPI 1629134531
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1522022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522022400000",
    "number": "1063917870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 13TH ST NE STE 502",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973012203",
            "telephone_number": "503-581-2351",
            "fax_number": "503-581-0125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 13TH ST NE STE 502",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973012203",
            "telephone_number": "503-581-2351",
            "fax_number": "503-581-0125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALEM PSYCHOLOGICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-26",
        "last_updated": "2018-03-26",
        "status": "A",
        "authorized_official_last_name": "MOONEY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "503-581-2351",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "OR",
            "license": "OR1088",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1629134531",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Salem Pediatric Clinic
• Salem Physical Therapy
• Salem Psychiatric Associates PC (Valley Mental Health)
• Salem Psychiatric Associates, P.C. (Valley Mental Health)
• Salem Psychiatry & Wellness LLC
• Salem Pulmonary Associates P.C.
• Salem Radiology Consultants PC
• Salem Rehabilitation Associates, Inc.
• Salem Rheumatology & Infusions LLC
• Salem Rheumatology, LLC

• Psychologist in Salem, OR
• Providers in Salem, OR by specialty
• Psychologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.