Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mikala L. Saccoman, PHD, LLC

Organization Clinical Neuropsychologist · NPI 1164180683

Mikala L. Saccoman, PHD, LLC is a Clinical Neuropsychologist in Bend, Oregon. Works from 2 locations. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

497 SW Century Dr Ste 104
Bend, OR 97702-1167
Phone: (541) 678-5174
Fax: (541) 678-5017
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 497 Sw Century Dr Ste 102, Bend, OR 97702-1167 — (541) 678-5174

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X
Clinical Neuropsychologist Taxonomy 103G00000X

Record details

NPI number1164180683
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mikala Saccoman — Owner · (541) 678-5174
NPI enumeratedDecember 1, 2021
Last updated in NPPESDecember 1, 2021
Certification dateDecember 1, 2021
Mailing address497 Sw Century Dr Ste 104, Bend, OR 97702-1167

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