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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1013336510

Dr. Samantha Domingo, PSYD is a Clinical Psychologist in Corvallis, Oregon. Qualified in 2015, 11 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in Oregon.

Years since qualifying
11
Licensed in
OR
In the registry since
2014
Specialties on file
3
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

3521 NW Samaritan Dr Ste 201
Corvallis, OR 97330-4744
Phone: (541) 768-5140
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 2791 (OR)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
Cognitive & Behavioral Psychologist Taxonomy 103TB0200X

Record details

NPI number1013336510
Entity typeIndividual (Type 1)
GenderFemale
Credentials PSYD
Sole proprietorYes
NPI enumeratedApril 11, 2014
Last updated in NPPESNovember 6, 2020
Certification dateNovember 6, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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