Active NPI
Harry (Sam) Wells Sappington III, PH.D.
- Psychologist
- Corvallis, OR
National Provider Identifier
1801001151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 1449
- Practice address
- 260 SW Madison Ave.
Suite #107
Corvallis, OR 97333-4728 - Phone
- (541) 602-4369
- Fax
- (541) 368-4325
- NPI assigned
- May 11, 2007
- Last updated
- Feb 8, 2016
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 1449 | OR | Primary |
| Counseling Psychologist | 103TC1900X | 1449 | OR |
Addresses
Primary practice location
260 SW Madison Ave.
Suite #107
Corvallis, OR 97333-4728
Mailing address
4877 NW Sox LN
Albany, OR 97321-9370
Phone (541) 928-7556
Other names 1
- Dr. Sam H.W. Sappington
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1454889600000",
"number": "1801001151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4877 NW SOX LN",
"city": "ALBANY",
"state": "OR",
"postal_code": "973219370",
"telephone_number": "541-928-7556",
"fax_number": "541-928-7556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "260 SW MADISON AVE.",
"address_2": "SUITE #107",
"city": "CORVALLIS",
"state": "OR",
"postal_code": "973334728",
"telephone_number": "541-602-4369",
"fax_number": "541-368-4325"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAPPINGTON",
"first_name": "HARRY (SAM)",
"middle_name": "WELLS",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-11",
"last_updated": "2016-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "OR",
"license": "1449",
"primary": true
},
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "OR",
"license": "1449",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SAM",
"last_name": "SAPPINGTON",
"middle_name": "H.W.",
"prefix": "DR.",
"credential": "PH.D.",
"code": "5",
"type": "Other Name"
}
]
}
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 Feb 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.