Organization Active NPI

Mark Aron, PSYD, MSW, PC

  • Community/Behavioral Health Agency
  • Corvallis, OR
National Provider Identifier
1497988638
Registry record updated Sep 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
1097 Issued in OR
Legal business name
MARK ARON, PSYD, MSW, PC
Practice address
216 NW 6TH St
Corvallis, OR 97330-4812
Phone
(541) 754-9072
Fax
(541) 754-0477
NPI assigned
Sep 3, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2009

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

Authorized official

Name
Dr. Mark Aron, PSYD, MSW, PCNPI 1538150636
Title
President
Phone
(541) 754-9072

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 1097 OR Primary

Addresses

Primary practice location

216 NW 6TH St
Corvallis, OR 97330-4812

Mailing address

216 NW 6TH St
Corvallis, OR 97330-4812
Phone (541) 754-9072

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090910000681 OR Part B Supplier - Clinic/Group Practice 6103971312 Receives reassigned benefits from 1 practitioner
Practice locations: Corvallis, OR

National Provider Directory

National Provider Directory

Locations

216 NW 6th St
Corvallis, OR 97330
Phone (541) 754-1209

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1251936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251936000000",
    "number": "1497988638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 NW 6TH ST",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973304812",
            "telephone_number": "541-754-9072",
            "fax_number": "541-754-0477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 NW 6TH ST",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973304812",
            "telephone_number": "541-754-9072",
            "fax_number": "541-754-0477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK ARON, PSYD, MSW, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-03",
        "last_updated": "2009-09-03",
        "status": "A",
        "authorized_official_last_name": "ARON",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "541-754-9072",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD, MSW, PC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OR",
            "license": "1097",
            "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 Sep 3, 2009; 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.