Active NPI
Brigid Mallon Behrens, MA
- Psychologist
- Corvallis, OR
National Provider Identifier
1407262421
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 4277
- Practice address
- 1112 NW Circle Blvd
Corvallis, OR 97330-1462 - Phone
- (541) 768-1221
- Fax
- (541) 768-9380
- NPI assigned
- Jul 10, 2014
- Last updated
- Aug 26, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 6352000851 | MI | |
| Psychologist | 103T00000X | 4277 | OR | Primary |
| Case Manager/Care Coordinator | 171M00000X | OR | ||
| Psychologist | 103T00000X | 6301019797 | MI |
Addresses
Primary practice location
1112 NW Circle Blvd
Corvallis, OR 97330-1462
Mailing address
1112 NW Circle Blvd
Corvallis, OR 97330-1462
Phone (541) 768-1221
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 |
|---|---|---|---|---|
| I20260625002979 | OR | Practitioner - Clinical Psychologist | 0244703700 |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2024
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
815 NW 9TH St
Suite 215
Corvallis, OR 97330-6173
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6301019797 | MI | MD | Psychologist |
| 6352000851 | MI | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Michigan Psychological Clinic | Psychologist | Current | Accepting new patients |
| University of Michigan-University Center for the Child and Family | Current | Accepting new patients |
Locations
210 S 5th Ave
Ann Arbor, MI 48104
Phone (734) 615-7853
Organizations & group practices 2
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.
-
- Psychologist
- Ann Arbor, MI
- NPI 1427229095
-
- Clinical Child & Adolescent Psychologist
- Ann Arbor, MI
- NPI 1952326837
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787702400000",
"number": "1407262421",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1112 NW CIRCLE BLVD",
"city": "CORVALLIS",
"state": "OR",
"postal_code": "973301462",
"telephone_number": "541-768-1221",
"fax_number": "541-768-9380"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1112 NW CIRCLE BLVD",
"city": "CORVALLIS",
"state": "OR",
"postal_code": "973301462",
"telephone_number": "541-768-1221",
"fax_number": "541-768-9380"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEHRENS",
"first_name": "BRIGID",
"middle_name": "MALLON",
"credential": "MA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-10",
"last_updated": "2026-08-26",
"certification_date": "2026-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "MI",
"license": "6352000851",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "OR",
"license": "4277",
"primary": true
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "OR",
"license": null,
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MI",
"license": "6301019797",
"primary": false
}
],
"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 26, 2026; 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.