Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1396014759 Individual Practitioner Female Practitioner

Dr. Mikala Saccoman , PhD

Psychologist • Bend, OR

Professional Overview & Biography Verified Profile Summary

Dr. Mikala Saccoman, PhD is a registered healthcare professional specializing in Psychologist in Bend, OR. Practice services are available at 497 SW CENTURY DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

497 Sw Century Dr
Ste 104

Bend, OR 977021167

Telephone 5416785174
Associated Practice Facility / Clinic
🏢 Sensenbach Senior Care, Inc. Facility NPI 1285944066

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Bend, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 27.5 Yrs
State Avg: 18.9 Yrs
Regional Practice Density
23 Specialists

Practicing in Bend, OR (780 Statewide)

Telehealth Adoption Rate
17.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
500647410 (OR)
Commercial Insurance / Payer ID Medicare Ptan
R166086 (OR)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
NPI 1093118564

Licensed Massage Therapist

NPI 1720151384

Doctor of Chiropractic

Dr. Leah Schock , PhD

Clinical Neuropsychologist

NPI 1932110038

Doctor of Philosophy (Ph.D.)

Dr. Mary Huntsman , MD

Obstetrics & Gynecology

NPI 1952459356

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active January 19, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location January 19, 2016

Registered at 497 SW CENTURY DR, STE 104, BEND, OR 977021167 (Tel: 5416785174)

📍
Updated Business Mailing Address January 19, 2016

Registered at 497 SW CENTURY DR, BEND, OR 977021167 (Tel: 5416785174)

👤
Provider Name / Credentials Updated January 19, 2016

Recorded as MIKALA SACCOMAN, PHD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 19, 2016

Psychologist

🟢
Initial NPI Registration & Enumeration December 14, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1396014759
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 14, 2011
Last Update: January 19, 2016
Sole Proprietor: No

Mailing Address

497 Sw Century Dr

Bend, OR 977021167

Phone: 5416785174

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.