Donna Sperry

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

2073 Issued in OR

Practice address

694 Church St NE
Salem, OR 97301-2401

Phone

(503) 588-5827

Fax

(503) 315-0714

NPI assigned

Jan 21, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Northwest Human Services, Inc.

  dba Quick Care Clinic

  • Federally Qualified Health Center (FQHC)
  • Salem, OR
  • NPI 1497014914
  NPD (past)
• Northwest Human Services, Inc.

  dba Homeless Outreach and Advocacy Project (HOAP)

  • Federally Qualified Health Center (FQHC)
  • Salem, OR
  • NPI 1790865798
  NPD (past)

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

{
    "created_epoch": "1264032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274054400000",
    "number": "1154652733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2328 CRESTVIEW DR S",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973025363",
            "telephone_number": "586-255-6228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "694 CHURCH ST NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973012401",
            "telephone_number": "503-588-5827",
            "fax_number": "503-315-0714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPERRY",
        "first_name": "DONNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-21",
        "last_updated": "2010-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301008670",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OR",
            "license": "2073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christian A Speer, M.D.
• Madison Spellman, BSN
• Jarod Spencer, DPM
• Mertice Marie Spencer
• Jared Speroni, PHD
• Kerrie E. Spicer, FNP
• Teresa E. Spies
• Spinal Med, Inc.
• Spine Clinic PC
• Damon Paul Spink, DC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2010; 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.