Samuel Haskin Aley, MS

Primary specialty

School PsychologistTaxonomy code 103TS0200X

License

70492 Issued in OR

Practice address

678 14TH CT
Coos Bay, OR 97420-4469

Phone

(541) 260-2106

NPI assigned

Feb 13, 2015

Sex

Male

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 15, 2022.

{
    "created_epoch": "1423785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671062400000",
    "number": "1992196810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4301",
            "city": "COOS BAY",
            "state": "OR",
            "postal_code": "974200520",
            "telephone_number": "541-260-2106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "678 14TH CT",
            "city": "COOS BAY",
            "state": "OR",
            "postal_code": "974204469",
            "telephone_number": "541-260-2106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALEY",
        "first_name": "SAMUEL",
        "middle_name": "HASKIN",
        "name_prefix": "Mr.",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-02-13",
        "last_updated": "2022-12-15",
        "certification_date": "2022-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "OR",
            "license": "70492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hasan Akhtar, MD
• Omar Aiman Akileh, DMD
• Alan Liesinger DMD PC
• Mark Albert, P.T.
• Samir Bir Ale, MD
• Tamara Sue Aley
• Aliviar LLC
• Rebecca Jean Alldridge
• Angelica Aliado Allen, MD
• Jennifer Emma Allred

• All providers in Coos Bay, OR
• School Psychologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2022; 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.