Geoffrey Schaubhut, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

Practice address

325 Park St
Lebanon, OR 97355-4229

Phone

(320) 290-9980

NPI assigned

Aug 25, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

Specialty

Clinical Psychologist

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mid-Valley Healthcare IncGroup PAC ID 2769391523, 143 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: gschaubhut193249@samhealth.direct-ci.com

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

• Mid-Valley Healthcare Inc

  • Critical Access Hospital
  • Lebanon, OR
  • NPI 1689625980

  OR

  Medicare reassignment Care Compare group NPD
• Mid-Valley Healthcare, Inc.

  • Rural Health Clinic/Center
  • Lebanon, OR
  • NPI 1427315662
  Care Compare group NPD
• Mid-Valley Healthcare, Inc.

  • Rural Health Clinic/Center
  • Lebanon, OR
  • NPI 1003182601
  Care Compare group
• Mid-Valley Healthcare, Inc.

  • Rural Health Clinic/Center
  • Brownsville, OR
  • NPI 1073879227
  Care Compare group
• Mid-Valley Healthcare, Inc.

  • Rural Health Clinic/Center
  • Lebanon, OR
  • NPI 1154687309
  Care Compare group
• Mid-Valley Healthcare, Inc.

  • Rural Health Clinic/Center
  • Lebanon, OR
  • NPI 1508122763
  Care Compare group
• Mid-Valley Healthcare, Inc.

  • Rural Health Clinic/Center
  • Sweet Home, OR
  • NPI 1528334125
  Care Compare group
• Mid-Valley Healthcare, Inc.

  • Community/Retail Pharmacy
  • Lebanon, OR
  • NPI 1699063784
  Care Compare group
• Mid-Valley Healthcare, Inc.

  • Rural Health Clinic/Center
  • Lebanon, OR
  • NPI 1881950038
  Care Compare group
• Mid-Valley Healthcare Inc

  • Addiction Medicine (Internal Medicine) Physician
  • Newport, OR
  • NPI 1740087899
  NPD

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

{
    "created_epoch": "1629849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634601600000",
    "number": "1477220697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1193",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973391193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 PARK ST",
            "city": "LEBANON",
            "state": "OR",
            "postal_code": "973554229",
            "telephone_number": "320-290-9980"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "191 N Main St",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "OR",
            "postal_code": "973552870",
            "country_code": "US",
            "telephone_number": "541-451-7940",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHAUBHUT",
        "first_name": "GEOFFREY",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-25",
        "last_updated": "2021-10-19",
        "certification_date": "2021-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gschaubhut193249@samhealth.direct-ci.com",
            "affiliation": "N",
            "address_1": "325 Park St",
            "city": "Lebanon",
            "state": "OR",
            "country_code": "US",
            "postal_code": "973554229",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Samaritan Lebanon Community Hospital
• Samaritan Pacific Health Services, Inc.
• Chase Samuels
• Haley E Sanchez
• Santiam Dental Group, LLC
• Joshua Christopher Schirripa, PA-C
• Allison Schue
• Phillip Samuel Scott
• Timothy Scott
• Dana M Scully, NP

• All providers in Lebanon, OR
• Psychologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2021; 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.

Verify at the official NPI Registry.