Peak Experience, PC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

1120 Issued in OR

Legal business name

PEAK EXPERIENCE, PC

Practice address

149 Clear Creek Dr
Suite 102
Ashland, OR 97520-1881

Phone

(541) 951-4329

NPI assigned

Nov 4, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Scott Bandoroff, PHDNPI 1801096334

Title

President

Phone

(541) 951-4329

Specialties & licenses 1

Addresses

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.

• Scott A Bandoroff, PSYCHOLOGIST (PHD)

  • Clinical Child & Adolescent Psychologist
  • Ashland, OR
  • NPI 1801096334
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1446595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446595200000",
    "number": "1154794832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "552 BEACH ST",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975203212",
            "telephone_number": "541-951-4329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 CLEAR CREEK DR",
            "address_2": "SUITE 102",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975201881",
            "telephone_number": "541-951-4329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEAK EXPERIENCE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-04",
        "last_updated": "2015-11-04",
        "status": "A",
        "authorized_official_last_name": "BANDOROFF",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "541-951-4329",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OR",
            "license": "1120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pamela Marie Pedjoe, LMFT
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• People'S Choice Acupuncture Center, LLC

• Community/Behavioral Health Agency in Ashland, OR
• Providers in Ashland, OR by specialty
• Community/Behavioral Health Agency in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2015; 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.