Active NPI
Robyn Ashley Migliorini, PHD
- Clinical Neuropsychologist
- Bend, OR
National Provider Identifier
1710334099
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- Practice address
- 1345 NW Wall St Ste 303
Bend, OR 97703-1970 - Phone
- (781) 288-5141
- Fax
- (541) 797-6471
- NPI assigned
- May 17, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 3051 | OR | |
| Clinical Neuropsychologist | 103G00000X | Primary |
Addresses
Primary practice location
1345 NW Wall St Ste 303
Bend, OR 97703-1970
Mailing address
1345 NW Wall St Ste 303
Bend, OR 97703-1970
Phone (781) 288-5141
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 1, 2023 through Jan 1, 2027
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": "1463443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635292800000",
"number": "1710334099",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1345 NW WALL ST STE 303",
"city": "BEND",
"state": "OR",
"postal_code": "977031970",
"telephone_number": "781-288-5141",
"fax_number": "541-797-6471"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1345 NW WALL ST STE 303",
"city": "BEND",
"state": "OR",
"postal_code": "977031970",
"telephone_number": "781-288-5141",
"fax_number": "541-797-6471"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIGLIORINI",
"first_name": "ROBYN",
"middle_name": "ASHLEY",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-17",
"last_updated": "2021-10-27",
"certification_date": "2021-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "OR",
"license": "3051",
"primary": false
},
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bend, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.