Individual provider Active NPI

Karen Hagerman Muller, PH.D.

  • Clinical Psychologist
  • Medford, OR
National Provider Identifier
1336364066
Registry record updated May 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1952 Issued in OR
Practice address
4497 Brown Ridge Ter Ste 104
Medford, OR 97504-9173
Phone
(541) 864-9991
Fax
(855) 485-3130
NPI assigned
Apr 16, 2007
Last updated
May 29, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 1952 OR Primary
Clinical Psychologist 103TC0700X PSY10331 CA

Addresses

Primary practice location

4497 Brown Ridge Ter Ste 104
Medford, OR 97504-9173

Mailing address

PO Box 459
Medford, OR 97501-0031
Phone (541) 864-9991

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
I20101223000263 OR Practitioner - Clinical Psychologist 2668660234 Practice locations: Medford, OR

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4497 Brown Ridge Ter
Suite 104
Medford, OR 97504-9173
Phone (541) 864-9991

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PSY10331CAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Inner Wisdom Therapy and Healing Arts, LLC PastSince May 31, 2020 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590710400000",
    "number": "1336364066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 459",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975010031",
            "telephone_number": "541-864-9991",
            "fax_number": "855-485-3130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4497 BROWN RIDGE TER STE 104",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975049173",
            "telephone_number": "541-864-9991",
            "fax_number": "855-485-3130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLER",
        "first_name": "KAREN",
        "middle_name": "HAGERMAN",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-16",
        "last_updated": "2020-05-29",
        "certification_date": "2020-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OR",
            "license": "1952",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY10331",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, OR

Sources for this page

Verify at the official NPI Registry.