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Dr. Nathaniel William Gump , PhD

Psychologist - Counseling β€’ Corvallis, OR

Active NPI 1265714133 Individual Practitioner Male Practitioner
Practice location in NPPES

408 Sw Monroe Ave Ste M236
Corvallis, OR 973337210

Call 5412500143 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

408 Sw Monroe Ave Ste M236

Corvallis, OR 973337210

Telephone 5412500143
Other Listings in Public Data

NPPES lists 2 distinct additional practice-address records in Appleton, WI; Corvallis, OR. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2011

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 Corvallis and Oregon

9 active clinicians are listed under Psychologist - Counseling with a practice address in Corvallis, OR (130 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Addresses are self-reported to NPPES and may be out of date.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

Psychologist - Counseling Primary Specialty

NUCC Taxonomy Code: 103TC1900X

License # reported to NPPES OR 2967

A psychologist who specializes in general practice and health service. It focuses on how people function both personally and in their relationships at all ages. Counseling psychology addresses the emotional, social, work, school and physical health concerns people may have at different stages in their lives, focusing on typical life stresses and more severe issues with which people may struggle as individuals and as a part of families, groups and organizations. Counseling psychologists help people with physical, emotional and mental health issues improve their sense of well-being, alleviate feelings of distress and resolve crises. They also provide assessment, diagnosis, and treatment of more severe psychological symptoms.

Psychologist - Counseling

NUCC Taxonomy Code: 103TC1900X

License # reported to NPPES WI 2738-57

A psychologist who specializes in general practice and health service. It focuses on how people function both personally and in their relationships at all ages. Counseling psychology addresses the emotional, social, work, school and physical health concerns people may have at different stages in their lives, focusing on typical life stresses and more severe issues with which people may struggle as individuals and as a part of families, groups and organizations. Counseling psychologists help people with physical, emotional and mental health issues improve their sense of well-being, alleviate feelings of distress and resolve crises. They also provide assessment, diagnosis, and treatment of more severe psychological symptoms.

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

Secondary Practice Locations

W6144 Aerotech Dr

Appleton, WI 549147503

Phone: 9207332065

887 Nw Grant Ave

Corvallis, OR 973304539

Phone: 5417145620

Career & Practice History Timeline

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

12 Historical Events
πŸ“
Updated Practice Location October 23, 2019

Registered at 408 SW MONROE AVE STE M236, CORVALLIS, OR 973337210 (Tel: 5412500143)

πŸ“
Updated Business Mailing Address October 23, 2019

Registered at 408 SW MONROE AVE STE M236, CORVALLIS, OR 973337210 (Tel: 5412500143)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 23, 2019

Psychologist (license number reported to NPPES: WI 2738-57)

πŸ“
Updated Practice Location July 13, 2019

Registered at 887 NW GRANT AVE, CORVALLIS, OR 973304539 (Tel: 5417145620)

πŸ“
Updated Business Mailing Address July 13, 2019

Registered at 4570 NW UNIVERSITY PL APT 5, CORVALLIS, OR 973301668 (Tel: 9794920586)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 13, 2019

Psychologist (license number reported to NPPES: OR 2967)

βœ…
NPI Profile Active July 21, 2016

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) July 21, 2016

Registered at W6144 AEROTECH DR, APPLETON, WI 549147503 (Tel: 9207332065)

πŸ“
Business Mailing Address (Initial Record) July 21, 2016

Registered at 1365 PINEHURST LN, NEENAH, WI 549564452 (Tel: 9794920586)

πŸ‘€
Provider Name / Credentials (Initial Record) July 21, 2016

Recorded as NATHANIEL GUMP, PH.D.

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 21, 2016

Psychologist (license number reported to NPPES: WI 2738-57)

🟒
Initial NPI Registration & Enumeration September 15, 2011

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1265714133
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 15, 2011
Last Update: October 23, 2019
Sole Proprietor: Yes

Mailing Address

408 Sw Monroe Ave Ste M236

Corvallis, OR 973337210

Phone: 5412500143

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.