NPI 1306095633 · live from the CMS NPI Registry
Brian Douglas Augustyn
Psychologist in Prineville, OR. National Provider Identifier 1306095633, active.
NPI record
| NPI | 1306095633 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychologist 103T00000X |
| Practice location | 384 Se Combs Flat Rd Ste 1200, Prineville, OR 97754 |
| Practice phone | 541-447-6263 |
| Mailing address | Po Box 413076, Salt Lake City, UT 84141 |
| Enumerated | September 10, 2008 |
| Last updated | April 16, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist | 103T00000X | 8883397-2501 (UT) |
| Psychologist, Clinical | 103TC0700X | 8883397-2501 (UT) |
| Psychologist primary | 103T00000X | 3883 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.