Active NPI
Ada Molinoff, PHD
- Clinical Psychologist
- Salem, OR
National Provider Identifier
1760514483
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 0641
- Practice address
- 635 Church St NE
Salem, OR 97301-2402 - Phone
- (503) 399-8264
- Fax
- (503) 399-9401
- NPI assigned
- Mar 9, 2007
- Last updated
- Jul 8, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 0641 | OR | Primary |
Addresses
Primary practice location
635 Church St NE
Salem, OR 97301-2402
Mailing address
635 Church St NE
Salem, OR 97301-2402
Phone (503) 399-8264
Other names 1
- Ada M Hawkinson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0641 | OR | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1760514483",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "635 CHURCH ST NE",
"city": "SALEM",
"state": "OR",
"postal_code": "973012402",
"telephone_number": "503-399-8264",
"fax_number": "503-399-9401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "635 CHURCH ST NE",
"city": "SALEM",
"state": "OR",
"postal_code": "973012402",
"telephone_number": "503-399-8264",
"fax_number": "503-399-9401"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOLINOFF",
"first_name": "ADA",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "OR",
"license": "0641",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ADA",
"last_name": "HAWKINSON",
"middle_name": "M",
"credential": "PHD",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Salem, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.