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MIKALA L. SACCOMAN PHD LLC NPI 1164180683


NPI Information

NPI: 1164180683
Provider Name: MIKALA L. SACCOMAN, PHD, LLC
Classification: Psychologist - 103T00000X
Entity Type: Organization
Address:
497 SW CENTURY DR STE 104
BEND, OR
ZIP 97702
Phone: (541) 678-5174
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MIKALA L. SACCOMAN, PHD, LLC is a psychologist in Bend, OR. The provider is a psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. MIKALA L. SACCOMAN, PHD, LLC NPI is 1164180683. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

497 SW CENTURY DR STE 104
BEND, OR
ZIP 97702-167
Phone: (541) 678-5174
Fax: (541) 678-5017

The provider's authorized official is Mikala L Saccoman .
The authorized official title is Owner and has the following contact phone number (541) 678-5174.

The enumeration date for this NPI number is 12/1/2021 and was last updated on 12/1/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103G00000XClinical NeuropsychologistNo
2103T00000XPsychologistYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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