Nelson Joseph Binggeli, PHD
Individual provider Active NPI Psychologist · Corvallis, OR
NPI 1851722706 · NPPES record last updated Mar 3, 2014
Key facts
- NPI
- 1851722706
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychologist 103T00000X
- License
- 2353 (OR)
- Practice address
- 444 NW Elks Dr
Corvallis, OR 97330-3745 - Phone
- (541) 754-1150
- Fax
- (541) 753-1789
- NPI assigned
- Dec 3, 2013
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Medicare Care Compare profile
- Specialty
- Clinical Psychologist
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- The Corvallis Clinic P C
Practice addresses (Care Compare)
444 NW Elks Dr
Corvallis, OR 97330-3745
Phone (541) 754-1150
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.16 of 100
- Quality
- 84.81
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.71
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140516001947 | OR | Practitioner - Clinical Psychologist | 6800019993 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2325 | OR | MD | Clinical Neuropsychologist |
| PSY003158 | GA | MD | Psychologist |
| 2353 | OR | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Corvallis Clinic P C | Current |
Accepting new patients |
Locations
444 NW Elks Dr
Corvallis, OR 97330
Phone (541) 754-1256
3680 NW Samaritan Dr
Corvallis, OR 97330
Phone (541) 754-1282
Interoperability endpoints
- https://api.platform.athenahealth.com/14349/brand/4/csg/42/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY003158 | GA | |
| Psychologist | 103T00000X | 2353 | OR | Yes |
Addresses
Primary practice location
444 NW Elks Dr
Corvallis, OR 97330-3745
Mailing address
444 NW Elks Dr
Corvallis, OR 97330-3745
Phone (541) 754-1150
Other providers in Corvallis, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 3, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.