Active NPI
Charla Vankoten
- Specialist
- Corvallis, OR
National Provider Identifier
1265626733
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 1220
- Practice address
- 223 SW 8TH St
Corvallis, OR 97333-4544 - Phone
- (541) 753-8343
- NPI assigned
- Aug 28, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 1220 | OR | Primary |
Addresses
Primary practice location
223 SW 8TH St
Corvallis, OR 97333-4544
Mailing address
223 SW 8TH St
Corvallis, OR 97333-4544
Phone (541) 753-8343
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101104000864 | OR | Practitioner - Clinical Psychologist | 7810181799 | Practice locations: Corvallis, OR |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
223 SW 8TH St
Corvallis, OR 97333-4544
Phone (541) 908-3497
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188259200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1188259200000",
"number": "1265626733",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "223 SW 8TH ST",
"city": "CORVALLIS",
"state": "OR",
"postal_code": "973334544",
"telephone_number": "541-753-8343"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "223 SW 8TH ST",
"city": "CORVALLIS",
"state": "OR",
"postal_code": "973334544",
"telephone_number": "541-753-8343"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANKOTEN",
"first_name": "CHARLA",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-08-28",
"last_updated": "2007-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "OR",
"license": "1220",
"primary": true
}
],
"identifiers": [],
"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 Aug 28, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.