Active NPI
R Scott Palmer, PH.D.
- Psychologist
- Lake Oswego, OR
National Provider Identifier
1851430276
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 3063
- Practice address
- 3943 Tempest Dr
Lake Oswego, OR 97035-1928 - Phone
- (530) 518-2926
- Fax
- (530) 592-0506
- NPI assigned
- Feb 5, 2007
- 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 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 3603 | OR | |
| Psychologist | 103T00000X | 16155 | CA | |
| Clinical Psychologist | 103TC0700X | 16155 | CA | |
| Clinical Child & Adolescent Psychologist | 103TC2200X | 16155 | CA | |
| Family Psychologist | 103TF0000X | 16155 | CA | |
| Forensic Psychologist | 103TF0200X | 16155 | CA | |
| Psychologist | 103T00000X | 3063 | OR | Primary |
Addresses
Primary practice location
3943 Tempest Dr
Lake Oswego, OR 97035-1928
Mailing address
155 B Ave Ste 220
Lake Oswego, OR 97034-3180
Phone (530) 518-2926
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110628000754 | CA | Practitioner - Clinical Psychologist | 1658558937 | Practice locations: Chico, CA |
| I20200407002628 | OR | Practitioner - Clinical Psychologist | 1658558937 | Practice locations: Lake Oswego, OR |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
Lake Oswego, OR 97035
Phone (530) 518-2926
22 Williamsburg LN
Suite a
Chico, CA 95926-2238
Phone (530) 518-2926
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3063 | OR | MD | Psychologist |
| 3603 | OR | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604966400000",
"number": "1851430276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "155 B AVE STE 220",
"city": "LAKE OSWEGO",
"state": "OR",
"postal_code": "970343180",
"telephone_number": "530-518-2926",
"fax_number": "530-592-0506"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3943 TEMPEST DR",
"city": "LAKE OSWEGO",
"state": "OR",
"postal_code": "970351928",
"telephone_number": "530-518-2926",
"fax_number": "530-592-0506"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALMER",
"first_name": "R",
"middle_name": "SCOTT",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-05",
"last_updated": "2020-11-10",
"certification_date": "2020-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "OR",
"license": "3603",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "16155",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "16155",
"primary": false
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "CA",
"license": "16155",
"primary": false
},
{
"code": "103TF0000X",
"taxonomy_group": "",
"desc": "Psychologist, Family",
"state": "CA",
"license": "16155",
"primary": false
},
{
"code": "103TF0200X",
"taxonomy_group": "",
"desc": "Psychologist, Forensic",
"state": "CA",
"license": "16155",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "OR",
"license": "3063",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Oswego, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2020; 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.