Individual provider Active NPI

Peter Eugene Calvo, PSYD

  • Clinical Psychologist
  • Klamath Falls, OR
National Provider Identifier
1912039975
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1625 Issued in OR
Practice address
905 Main St
Suite 211
Klamath Falls, OR 97601-5810
Phone
(541) 850-9225
Fax
(541) 273-7287
NPI assigned
Mar 12, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 1625 OR Primary

Addresses

Primary practice location

905 Main St
Suite 211
Klamath Falls, OR 97601-5810

Mailing address

905 Main St
Suite 211
Klamath Falls, OR 97601-5810
Phone (541) 850-9225

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20070713000032 OR Practitioner - Clinical Psychologist 2567562077 Practice locations: Klamath Falls, OR

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

905 Main St
Klamath Falls, OR 97601-6066
Phone (541) 850-9225

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1912039975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 MAIN ST",
            "address_2": "SUITE 211",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976015810",
            "telephone_number": "541-850-9225",
            "fax_number": "541-273-7287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 MAIN ST",
            "address_2": "SUITE 211",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976015810",
            "telephone_number": "541-850-9225",
            "fax_number": "541-273-7287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALVO",
        "first_name": "PETER",
        "middle_name": "EUGENE",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OR",
            "license": "1625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Klamath Falls, OR

Sources for this page

Verify at the official NPI Registry.