Willamette Valley Psychological Services LLC

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

WILLAMETTE VALLEY PSYCHOLOGICAL SERVICES LLC

Practice address

388 State St Ste 820
Salem, OR 97301-3470

Phone

(503) 606-6679

NPI assigned

Dec 9, 2024

Organization subpart

No

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

Authorized official

Name

Nathan R Bauer, PSYDNPI 1467076265

Title

Dr.

Phone

(503) 277-9640

Specialties & licenses 2

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nathan R Bauer

  • Psychologist
  • Salem, OR
  • NPI 1467076265

  Mental Health

  NPD Authorized official
• Michaela Lynette Rushing

  • Mental Health Counselor
  • Portland, OR
  • NPI 1760095277
  NPD

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

{
    "created_epoch": "1733702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784592000000",
    "number": "1992511430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5441 S MACADAM AVE STE R",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972396106",
            "telephone_number": "503-914-1035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "388 STATE ST STE 820",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973013470",
            "telephone_number": "503-606-6679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLAMETTE VALLEY PSYCHOLOGICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-09",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-21",
        "status": "A",
        "authorized_official_last_name": "BAUER",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DR.",
        "authorized_official_telephone_number": "503-277-9640",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Willamette Valley Medical Consultants, LLC
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• Willamette Valley Mental Health, LLC
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• Willamette Valley Oral & Maxillofacial Surgey, Inc.
• Willamette Valley Radiology
• Willamette Valley Treatment Center
• Willamette Valley Treatment Center, Inc.
• Willamette Valley Wellness LLC
• Willamette Vascular Specialists, PC

• Psychologist in Salem, OR
• Providers in Salem, OR by specialty
• Psychologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2026; 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.