NPI 1497159461 · live from the CMS NPI Registry
Niki Desanto Amsden, Ph.D.
Clinical Neuropsychologist in Roseburg, OR. National Provider Identifier 1497159461, active.
NPI record
| NPI | 1497159461 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Clinical Neuropsychologist 103G00000X |
| Practice location | 2700 Stewart Parkway, Annex B, Roseburg, OR 97471 |
| Practice phone | 541-440-3532 |
| Mailing address | 272 Nw Medical Loop Ste E, Roseburg, OR 97471 |
| Enumerated | October 20, 2014 |
| Last updated | September 21, 2026 |
| Sole proprietor | No |
| Other names | Niki Desanto |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist, Rehabilitation | 103TR0400X | 2464 (OR) |
| Psychologist, Clinical | 103TC0700X | PSY 12507 (CA) |
| Clinical Neuropsychologist | 103G00000X | — |
| Clinical Neuropsychologist primary | 103G00000X | 2464 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.