Individual provider Active NPI

Carol Fox Sillars, PH.D.

  • Cognitive & Behavioral Psychologist
  • Corvallis, OR
National Provider Identifier
1972684108
Registry record updated May 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X
License
1430 Issued in OR
Practice address
744 NW 4TH St
Corvallis, OR 97330-6415
Phone
(541) 738-8089
Fax
(541) 752-0956
NPI assigned
Oct 17, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cognitive & Behavioral Psychologist 103TB0200X 1430 OR Primary

Addresses

Primary practice location

744 NW 4TH St
Corvallis, OR 97330-6415

Mailing address

PO Box 1101
Corvallis, OR 97339-1101
Phone (541) 738-8089

Other names 1

  • Dr. Carol Rushing Former name

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)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
1430ORMDNaturopath

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209600000000",
    "number": "1972684108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1101",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973391101",
            "telephone_number": "541-738-8089",
            "fax_number": "541-752-0956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "744 NW 4TH ST",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973306415",
            "telephone_number": "541-738-8089",
            "fax_number": "541-752-0956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SILLARS",
        "first_name": "CAROL",
        "middle_name": "FOX",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2008-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "OR",
            "license": "1430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROL",
            "last_name": "RUSHING",
            "prefix": "DR.",
            "credential": "PHD",
            "code": "1",
            "type": "Former 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 May 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.