SCOTT DOUGLAS MENDELSON (MD) – Psychiatry Physician, NPI 1053336024

SCOTT DOUGLAS MENDELSON (MD) is a healthcare provider. based in Roseburg, Oregon. specializing in Psychiatry Physician. They hold the professional credentials MD. They hold a License No. MD22296 (OR). The NPI Number for SCOTT DOUGLAS MENDELSON (MD) is 1053336024

Main info

Male
30 Years Of Experience
Accepts Medicare Assignment
Name
SCOTT DOUGLAS MENDELSON (MD)
NPI
1053336024
Phone
(541) 440-6390
Address
PO BOX 1023
Enumeration Date
12 July 2006
Last Update Date
15 September 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5412297038
Graduation Year
1996 (30 years ago)
PAC ID
7810948858
Group Practice PAC ID
4284915141
Professional Enrollment ID
I20050207000691
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for SCOTT DOUGLAS MENDELSON (MD)

  • Roseburg Post Office, 519, Southeast Kane Street, Roseburg, Douglas County, Oregon, 97470, United States

    ROSEBURG, OR 974700232

    Phone: (541) 440-6390

    Fax: (541) 440-6392

    Type: Mailing

  • 1813, West Harvard Avenue, Roseburg, Douglas County, Oregon, 97471, United States

    SUITE 201

    ROSEBURG, OR 974712754

    Phone: (541) 440-6390

    Fax: (541) 440-6392

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 97470)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4284915141View full group profile
NameSpecialtyState
Clinical Social WorkerOR
Nurse PractitionerOR
Nurse PractitionerOR
Nurse PractitionerOR
Family PracticeOR
-OR
-OR
Physician AssistantOR
Family PracticeOR
Nurse PractitionerOR

Reviews

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Frequently asked questions

What is the registry number for SCOTT DOUGLAS MENDELSON (MD)?
The registry entry for SCOTT DOUGLAS MENDELSON (MD) shows NPI 1053336024.
Should I treat SCOTT DOUGLAS MENDELSON (MD) as an active provider?
Patients and plans typically see SCOTT DOUGLAS MENDELSON (MD) as active in the national extract.
What does the directory say SCOTT DOUGLAS MENDELSON (MD) does?
Insurance directories may phrase it differently, but here SCOTT DOUGLAS MENDELSON (MD) maps to Psychiatry Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to SCOTT DOUGLAS MENDELSON (MD)?
SCOTT DOUGLAS MENDELSON (MD) is associated with Roseburg, Oregon in the same public data insurers reference.
Who maintains SCOTT DOUGLAS MENDELSON (MD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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