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Deactivated NPI 1457865289 Deactivated / Inactive NPI Male Practitioner

Edward Berrigan

Peer Specialist • Salem, OR

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Edward Berrigan has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date December 01, 2017
NPI Deactivation Date July 17, 2024
Total Practice Duration ~7 Years of Practice (2017 – 2024)

Professional Overview & Biography Verified Profile Summary

Edward Berrigan was a registered Peer Specialist practicing in Salem, OR. Throughout an active medical career spanning 7 years, Edward Berrigan provided care at the practice location at 1599 STATE ST until profile deactivation on 2024-07-17.

Practice Location & Contact Primary Location

Practice Address

1599 State St

Salem, OR 973014255

Telephone 5033633260
Fax 5033633260
Associated Practice Facility / Clinic
🏢 Project Able, Inc. Facility NPI 1568859593

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Salem, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
312 Specialists

Practicing in Salem, OR (3408 Statewide)

Telehealth Adoption Rate
0.0% 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

Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Practice Associates & Co-Workers

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

40 Associated Practitioners
Lynda Conley

Counselor - Addiction (Substance Use Disorder)

NPI 1003484718
Darla Serene-Heineck

Peer Specialist

NPI 1023473865
Norma Yoas

Peer Specialist

NPI 1033579321
Lucas Mcmellon

Peer Specialist

NPI 1093263923
Deborah Good

Peer Specialist

NPI 1104220789
Geri Shockley

Peer Specialist

NPI 1134584972

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated July 17, 2024

Record deactivated on July 17, 2024

NPI Profile Active December 01, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location December 01, 2017

Registered at 1599 STATE ST, SALEM, OR 973014255 (Tel: 5033633260)

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Updated Business Mailing Address December 01, 2017

Registered at 1599 STATE ST, SALEM, OR 973014255 (Tel: 5033633260)

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Provider Name / Credentials Updated December 01, 2017

Recorded as EDWARD BERRIGAN

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 01, 2017

Peer Specialist

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Initial NPI Registration & Enumeration December 01, 2017

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: 1457865289
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 01, 2017
Last Update: December 01, 2017
Deactivation Date: July 17, 2024

Mailing Address

1599 State St

Salem, OR 973014255

Phone: 5033633260

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.