DR. SCOTT A BANDOROFF (NPI# 1801096334) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801096334 |
| Entity Type | Individual |
| Full Name | DR. SCOTT A BANDOROFF |
| Credential | PSYCHOLOGIST (PHD) |
| Practice Address |
149 Clear Creek Dr Suite 110 Ashland OR 97520 |
| Mailing Address |
P.o. Box 503010 X White City OR 97503-0813 |
| Practice Telephone | 5419514329 |
| Practice Fax Number | 5034194662 |
| Mailing Telephone | 5419417792 |
| Mailing Fax Number | 5034194662 |
| Enumeration Date | 2007-07-23 |
| Last Update Date | 2012-04-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
OR1120 | OR | Behavioral Health & Social Service Providers |
| N | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
1120 | OR | Behavioral Health & Social Service Providers |
| Street Address |
149 CLEAR CREEK DR SUITE 110 |
| City | ASHLAND |
| State | OR |
| Zip Code | 97520 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629273586 | Sarah Collard, Ph.d., LLC | Psychologist | 149 Clear Creek Dr, Suite 104, Ashland, OR 97520-1881 | 2007-06-19 |
| 1154794832 | Peak Experience, PC | Community/Behavioral Health | 149 Clear Creek Dr, Suite 102, Ashland, OR 97520-1881 | 2015-11-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699390435 | Susan Kathleen Phelps | Massage Therapist | 280 E. Hersey St., Suite B17, Ashland, OR 97520 | 2020-06-08 |
| 1891276101 | William Charles Southworth | Internal Medicine | 866 Blaine St.., Ashland, OR 97520 | 2018-08-24 |
| 1326545625 | Daniel Jordan Decillis | Dentist | 1144 Iowa St Ste A, Ashland, OR 97520 | 2018-04-12 |
| 1730690959 | Eleyah Knight | Acupuncturist | 850 Siskyou Blvd. #6, Ashland, OR 97520 | 2017-10-15 |
| 1881117752 | Elizabeth Kristine Follett | Speech-Language Pathologist | 3265 Biddle Road, Medford, OR 97520 | 2017-07-21 |
| 1457895955 | Graham Collins Inc. | Counselor | 1600 Tolman Creek Rd, Ashland, OR 97520 | 2016-12-19 |
| 1720538010 | Kate Preskenis, Lmt, LLC | Massage Therapist | 823 Siskiyou Blvd., Ashland, OR 97520 | 2016-10-11 |
| 1366899445 | Nadejda Ioana Razi Robertson | Social Worker | 246 Second Street, Ashland, OR 97520 | 2016-05-19 |
| 1225496193 | Teena Summers | Marriage & Family Therapist | 200 Ohio St., Ashland, OR 97520 | 2016-02-05 |
| 1114392016 | Amanda Rose | Doula | 2233 Villard St Apt 203, Ashland, OR 97520 | 2015-12-04 |
| Find all providers in zip 97520 | ||||
| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912530643 | Positive Development for Youth and Families, Inc. | Psychologist | 4531 Se Belmont St Ste 110, Portland, OR 97215-1675 | 2020-02-21 |
| 1467819631 | Megan Nichols | Psychologist | 2734 Se 29th Ave, Apt B, Portland, OR 97202-1381 | 2016-01-19 |
| 1699161745 | Nvw Newco | Psychologist | 160 Scalehouse Loop, Suite 160, Bend, OR 97702-1284 | 2015-04-15 |
| 1538412549 | Daniel Kriz | Psychologist | Ne 2542 Courtney Drive, Bend, OR 97701 | 2012-10-16 |
| 1891043360 | Margaret Arnold Stoeckel | Psychologist | 5041 Se Taylor St, Portland, OR 97215-2624 | 2012-08-15 |
| 1629305545 | Cynthia Marie Anderson | Psychologist | 2085 Sunrise Blvd, Eugene, OR 97405-5524 | 2009-11-13 |
| 1780815811 | Kristen Heather Marcaly | Psychologist | 14025 Sw Farmington Rd Ste 160, Beaverton, OR 97005 | 2009-08-06 |
| 1851532139 | Charlene Eickholt | Psychologist | 1405 Ne Broadway, Suite # 200, Portland, OR 97232-1497 | 2009-03-16 |
| 1497904924 | Ian Alexander Shinney | Psychologist | 2611 Erin Way, Eugene, OR 97408-4713 | 2008-09-09 |
| 1316092349 | Whitney Vail | Psychologist | 2450 Strong Rd Se, Salem, OR 97302-9676 | 2007-01-23 |
| Find all providers with the same taxonomy | ||||
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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.