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Samuel Haskin Aley , MS

Psychologist - School β€’ Coos Bay, OR

Active NPI 1992196810 Individual Practitioner Male Practitioner
Practice location in NPPES

678 14th Ct
Coos Bay, OR 974204469

Call 5412602106 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

678 14th Ct

Coos Bay, OR 974204469

Telephone 5412602106

NPI first issued

2015

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Coos Bay and Oregon

2 active clinicians are listed under Psychologist - School with a practice address in Coos Bay, OR (150 in Oregon).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2022-12-15
Psychologist - School Primary Specialty

NUCC Taxonomy Code: 103TS0200X

License # reported to NPPES OR 70492

A psychologist whose specialty is concerned with the science and practice of psychology with children, youth, families; learners of all ages; and the schooling process. The basic education and training of school psychologists prepares them to provide a range of psychological diagnosis, assessment, intervention, prevention, health promotion, and program development and evaluation services with a special focus on the developmental processes of children and youth within the context of schools, families and other systems. School psychologists are prepared to intervene at the individual and system level, and develop, implement, and evaluate preventive programs. In these efforts, they conduct ecologically valid assessments and intervene to promote positive learning environments within which children and youth from diverse backgrounds to ensure that all have equal access to effective educational and psychological services that promote healthy development

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Oregon Medical Board.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events
πŸ“
Updated Practice Location December 15, 2022

Registered at 678 14TH CT, COOS BAY, OR 974204469 (Tel: 5412602106)

πŸ“
Updated Business Mailing Address December 15, 2022

Registered at PO BOX 4301, COOS BAY, OR 974200520 (Tel: 5412602106)

πŸ‘€
Provider Name / Credentials Updated December 15, 2022

Recorded as SAMUEL ALEY, MS

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 15, 2022

Psychologist (license number reported to NPPES: OR 70492)

βœ…
NPI Profile Active February 13, 2015

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) February 13, 2015

Registered at 678 14TH AVE, COOS BAY, OR 974204414 (Tel: 5412602106)

πŸ“
Business Mailing Address (Initial Record) February 13, 2015

Registered at 678 14TH AVE, COOS BAY, OR 974204414 (Tel: 5412602106)

πŸ‘€
Provider Name / Credentials (Initial Record) February 13, 2015

Recorded as SAM ALEY, M.S.

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 13, 2015

Specialist (license number reported to NPPES: OR 10372135)

🟒
Initial NPI Registration & Enumeration February 13, 2015

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1992196810
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 13, 2015
Last Update: December 15, 2022
Sole Proprietor: Yes

Mailing Address

Po Box 4301

Coos Bay, OR 974200520

Phone: 5412602106

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.