DR. MEGAN NICOLOFF (NPI# 1346323219) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346323219 |
| Entity Type | Individual |
| Full Name | DR. MEGAN NICOLOFF |
| Credential | PSY.D. |
| Practice Address |
161 High St Se Suite 206 C Salem OR 97301-3660 |
| Practice Telephone | 5033644039 |
| Practice Fax Number | 5033644059 |
| Mailing Telephone | 5033644039 |
| Mailing Fax Number | 5033644059 |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | 1691 | OR | Behavioral Health & Social Service Providers |
| Street Address |
161 HIGH ST SE SUITE 206 C |
| City | SALEM |
| State | OR |
| Zip Code | 97301-3660 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316339617 | Susan Couch | Specialist | 161 High St Se, Suite #218, Salem, OR 97301-3660 | 2015-02-23 |
| 1538568639 | William Valley Mental Health LLC | Marriage & Family Therapist | 161 High St Se, Suite 230, Salem, OR 97301-3660 | 2014-08-14 |
| 1326471376 | Willamette Valley Mental Health, LLC | Counselor | 161 High St Se, Suite 230, Salem, OR 97301-3660 | 2013-08-13 |
| 1639447782 | Cross Cultural Counseling and Consulting, Inc. | Psychologist | 161 High St Se, Suite 210, Salem, OR 97301-3660 | 2011-12-05 |
| 1801036363 | Stephanie Giddings | Marriage & Family Therapist | 161 High St Se, Suite 251, Security Building, Salem, OR 97301-3660 | 2009-02-24 |
| 1356580864 | Jennie Marie Rummell | Mechanotherapist | 161 High St Se, #206b, Salem, OR 97301-3660 | 2009-02-08 |
| 1376739961 | Lorretta Ann Dukart | Counselor | 161 High St Se, Suite 228, Salem, OR 97301-3660 | 2007-09-18 |
| 1730245705 | Gailene I Thiel | Social Worker | 161 High St Se, Suite 206b, Salem, OR 97301-3660 | 2006-12-27 |
| 1811057235 | Carol Hendrix | Psychologist | 161 High St Se, Suite 244, Salem, OR 97301-3660 | 2006-12-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205450970 | Jehan Seals | Behavior Technician | 3400 State St Set G750, Salem, OR 97301 | 2020-05-29 |
| 1093335929 | Sterling Recovery, LLC | Dietitian, Registered | 3758 Amber St Ne #105, Salem, OR 97301 | 2020-04-21 |
| 1760018360 | Riverfront Mental Health LLC | Counselor | 338 State St, Suite 985, Salem, OR 97301 | 2020-03-16 |
| 1871126888 | Amity Beth Haddon Maxwell | Social Worker | Oregon State Hospital, 2600 Center St Ne, Salem, OR 97301 | 2020-02-18 |
| 1861042632 | Brenda Grizelda Vargas | Behavioral Analyst | 3400 State Ste Ste G750, Salem, OR 97301 | 2019-09-13 |
| 1588213177 | Natalie Stone | Registered Nurse | 2045 Siverton Rd Ne, Salem, OR 97301 | 2019-09-06 |
| 1588228720 | Jeramy Disenso | Counselor | 270 Cottage St Ne, Salem, OR 97301 | 2019-04-23 |
| 1801353297 | Gwendolyn Kersey | Registered Nurse | 2600 Center St Ne Oregon State Hospital, Salem, OR 97301 | 2019-02-21 |
| 1841769114 | Spine Clinic PC | Massage Therapist | 1281 Lancaster Drive Ne, Salem, OR 97301 | 2018-11-16 |
| 1013482132 | Kellie Linn Hansen | Physical Therapist | 4049 Market St Se, Salem, OR 97301 | 2018-10-04 |
| Find all providers in zip 97301 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386857506 | David Matthew Freed | Clinical Neuropsychologist | 1180 Cross St Se, Salem, OR 97302-2924 | 2007-05-07 |
| 1053451476 | David Welford Ellis | Clinical Neuropsychologist | 325 Route 45, Salem, NJ 08079-2045 | 2007-02-07 |
| 1750435046 | Lawrence S Fieman | Clinical Neuropsychologist | 4 Dove Ave, Salem, MA 01970-2944 | 2007-01-23 |
| 1336187533 | Robert Sedgwick | Clinical Neuropsychologist | 48 Bridge St, Salem, MA 01970-4127 | 2006-06-02 |
| 1962990796 | Kathleen Teresa Rhyner | Clinical Neuropsychologist | 1970 Roanoke Blvd, Salem, VA 24153-6404 | 2018-04-26 |
| 1164888566 | Neena Cassell | Clinical Neuropsychologist | 1970 Roanoke Blvd, Bldg 11 Room 120f, Salem, VA 24153-6404 | 2016-01-14 |
| 1932580933 | Nathaniel Deyoung | Clinical Neuropsychologist | 1970 Roanoke Blvd, Mhsl 116b, Salem, VA 24153-6404 | 2015-06-15 |
| 1487042230 | Tracee Francis | Clinical Neuropsychologist | 57 Highland Ave, Salem, MA 01970-2141 | 2015-01-02 |
| 1740606862 | Peter Matthew Daly | Clinical Neuropsychologist | 57 Highland Ave, Salem, MA 01970-2141 | 2014-03-13 |
| 1275867921 | Ryan Stephen Fielding | Clinical Neuropsychologist | 57 Highland Ave, Salem, MA 01970-2141 | 2009-09-29 |
| Find all providers in SALEM | ||||
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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.