DR. MICHAEL J. BACHOP (NPI# 1003149576) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003149576 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL J. BACHOP |
| Credential | PH.D. |
| Practice Address |
3521 Nw Samaritan Dr Ste 201 Corvallis OR 97330-4744 |
| Mailing Address |
1195 W 27th Pl Eugene OR 97405-2238 |
| Practice Telephone | 6602022407 |
| Mailing Telephone | 6602022407 |
| Enumeration Date | 2009-09-15 |
| Last Update Date | 2013-01-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | 2009026784 | MO | Behavioral Health & Social Service Providers |
| N | 103TA0400X |
Psychologist Specialization: Addiction (Substance Use Disorder) |
2009026784 | MO | Behavioral Health & Social Service Providers |
| N | 103TA0700X |
Psychologist Specialization: Adult Development & Aging |
2009026784 | MO | Behavioral Health & Social Service Providers |
| N | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
2009026784 | MO | Behavioral Health & Social Service Providers |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
2009026784 | MO | Behavioral Health & Social Service Providers |
| N | 103TC1900X |
Psychologist Specialization: Counseling |
2009026784 | MO | Behavioral Health & Social Service Providers |
| N | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
2009026784 | MO | Behavioral Health & Social Service Providers |
| N | 103TF0200X |
Psychologist Specialization: Forensic |
2009026784 | MO | Behavioral Health & Social Service Providers |
| N | 103TP2701X |
Psychologist Specialization: Group Psychotherapy |
2009026784 | MO | Behavioral Health & Social Service Providers |
| Street Address |
3521 NW SAMARITAN DR STE 201 |
| City | CORVALLIS |
| State | OR |
| Zip Code | 97330-4744 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659355899 | Samantha Rao Shah | Internal Medicine | 3521 Nw Samaritan Dr Ste 201, Corvallis, OR 97330-4744 | 2005-12-01 |
| 1578195087 | Rosemary Swift Schairer | Registered Nurse | 3521 Nw Samaritan Dr Ste 201, Corvallis, OR 97330-4744 | 2020-02-12 |
| 1790206100 | Craig Ellis Brauer | Pharmacist | 3521 Nw Samaritan Dr Ste 201, Corvallis, OR 97330-4744 | 2017-07-06 |
| 1487041687 | Carly Ann Mayumi Crider | Internal Medicine | 3521 Nw Samaritan Dr Ste 201, Corvallis, OR 97330-4744 | 2015-04-25 |
| 1629463237 | Anne Marie Collum | Internal Medicine | 3521 Nw Samaritan Dr Ste 201, Corvallis, OR 97330-4744 | 2015-03-31 |
| 1023438231 | Gwyn Mahony | Family Medicine | 3521 Nw Samaritan Dr Ste 201, Corvallis, OR 97330-4744 | 2014-04-27 |
| 1013336510 | Samantha Domingo | Psychologist | 3521 Nw Samaritan Dr Ste 201, Corvallis, OR 97330-4744 | 2014-04-11 |
| 1437496544 | Jacquelyn J Sinclair | Registered Nurse | 3521 Nw Samaritan Dr Ste 201, Corvallis, OR 97330-4744 | 2013-01-09 |
| 1710252473 | Andree Elizabeth Volin | Social Worker | 3521 Nw Samaritan Dr Ste 201, Corvallis, OR 97330-4744 | 2012-03-14 |
| 1598051666 | Tracy Lee Hume | Internal Medicine | 3521 Nw Samaritan Dr Ste 201, Corvallis, OR 97330-4744 | 2011-06-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235754912 | Miya Claborn | Counselor | 4495 Se Hwy 20, Corvallis, OR 97330 | 2020-06-09 |
| 1548889017 | Greydi Olvera | Counselor | Childrens Farm Home 4455 Ne Hwy 20, Corvallius, OR 97330 | 2020-04-14 |
| 1053953992 | Andie Marie Gaipo | Counselor | 4455 Ne Hwy 20 - Children's Farm Home, Corvallis, OR 97330 | 2019-10-11 |
| 1740847177 | Stephen Jack Eccles | Behavior Technician | Trillium Children's Farm Home, 4455 Ne Hwy 20, Corvallis, OR 97330 | 2019-05-21 |
| 1750944815 | Tiffany Rene Flinchpaugh | Counselor | Children's Farm Home 4455 Hwy 20, Corvallis, OR 97330 | 2019-04-15 |
| 1679035455 | Isaiah Mile Cassidy | Counselor | Children's Farm Home-4455 Ne Hwy 20, Corvallis, OR 97330 | 2019-04-02 |
| 1982168399 | Haylee Cramblit | Counselor | Children's Farm Home 4455 Ne Hwy 20, Corvallis, OR 97330 | 2019-01-30 |
| 1457835365 | Ashley Alyn Couch | Counselor | 4455 Hwy 20 Corvallis 97330, Corvallis, OR 97330 | 2018-09-18 |
| 1104318898 | Megan Gerding | Technician, Other | 996 Nw Circle Blvd Suite 103, Corvallis, OR 97330 | 2018-05-30 |
| 1700377108 | Pacific Hearing Services | Audiologist | 975 Nw Spruce Ave, Suite #101, Corvallis, OR 97330 | 2018-05-22 |
| Find all providers in zip 97330 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497924765 | Scott Michael Mcfee | Psychologist | 340 Sw 2nd St Ste 8, Corvallis, OR 97333-4690 | 2008-02-21 |
| 1609957406 | William S Moynihan | Psychologist | 2304 Nw Kings Blvd, Corvallis, OR 97330-3925 | 2006-10-18 |
| 1760409254 | Jennifer R Cooper | Psychologist | 833 Nw Buchanan Ave # 10, Corvallis, OR 97330-6217 | 2006-07-17 |
| 1538150636 | Mark Aron | Psychologist | 216 Nw 6th St, Corvallis, OR 97330-4812 | 2005-10-30 |
| 1225689086 | Bella Vasoya | Psychologist | 3517 Nw Samaritan Dr Ste 100, Corvallis, OR 97330-3768 | 2019-09-24 |
| 1912551771 | Conifer Wellness, Inc. | Psychologist | 139 Sw 3rd St, Corvallis, OR 97333-4713 | 2019-07-30 |
| 1396305801 | Corvallis Youth Psychology | Psychologist | 340 Sw 2nd St Ste 8, Corvallis, OR 97333-4690 | 2019-06-17 |
| 1699266940 | Alexander C Rowell | Psychologist | 216 Nw 6th St, Corvallis, OR 97330-4812 | 2018-05-22 |
| 1689125247 | Amy Jo Williams | Psychologist | 3509 Nw Samaritan Dr Ste 215, Corvallis, OR 97330-3893 | 2016-10-19 |
| 1215481171 | Mike Wojtkowicz | Psychologist | 4455 Ne Highway 20, Corvallis, OR 97330-9695 | 2016-08-09 |
| Find all providers in CORVALLIS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.