NPI 1528107679 · live from the CMS NPI Registry
John D. Atkinson, Ph.D.
Psychologist in Corvallis, OR. National Provider Identifier 1528107679, active.
NPI record
| NPI | 1528107679 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychologist 103T00000X |
| Practice location | 744 Nw 4th St, Corvallis, OR 97330 |
| Practice phone | 541-752-7175 |
| Mailing address | 3939 Nw Clarence Cir, Corvallis, OR 97330 |
| Enumerated | February 5, 2007 |
| Last updated | September 11, 2025 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist, Clinical Child & Adolescent | 103TC2200X | 545 (OR) |
| Psychologist, Family | 103TF0000X | 545 (OR) |
| Psychologist primary | 103T00000X | 545 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.