Winston Seegobin, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

2070 Issued in OR

Practice address

414 N Meridian St
Newberg, OR 97132-2697

Phone

(503) 830-5381

Fax

(503) 554-2371

NPI assigned

Feb 16, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mid Valley Counseling Center IncGroup PAC ID 2769479948, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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 Counseling Center Inc

  • Clinical Psychologist
  • Salem, OR
  • NPI 1407039308
  Medicare reassignment Care Compare group NPD
• George Fox University

  • Athletic Trainer
  • Newberg, OR
  • NPI 1770613036
  NPD (past)

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340064000000",
    "number": "1760526412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 N MERIDIAN ST",
            "city": "NEWBERG",
            "state": "OR",
            "postal_code": "971322697",
            "telephone_number": "503-830-5381",
            "fax_number": "503-554-2371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 N MERIDIAN ST",
            "city": "NEWBERG",
            "state": "OR",
            "postal_code": "971322697",
            "telephone_number": "503-830-5381",
            "fax_number": "503-554-2371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEEGOBIN",
        "first_name": "WINSTON",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-16",
        "last_updated": "2012-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OR",
            "license": "2070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott T. Henson D.D.S, M.S.D, P.C
• Christine Seaman
• Edward Seaman
• Seegobin Psychological Services Inc
• Karen Seegobin
• Kevin R Sellars, MD
• Daniel P Sellers, PA-C
• Marvin David Seppala, M.D.
• Serenity Home Services Inc.
• Elizabeth S Severson, DO

• Clinical Psychologist in Newberg, OR
• Providers in Newberg, OR by specialty
• Clinical Psychologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2012; 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.