| Center For Family Development, Inc. | |
|
1258 High St Eugene OR 97401-3238 | |
| (541) 342-8437 | |
| (541) 342-1639 |
| Full Name | Center For Family Development, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 1258 High St, Eugene, Oregon |
| Authorized Official Name and Position | Shanti T Rios (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5413428437 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Center For Family Development, Inc. 1258 High St Eugene OR 97401-3238 Ph: (541) 342-8437 | Center For Family Development, Inc. 1258 High St Eugene OR 97401-3238 Ph: (541) 342-8437 |
| NPI Number | 1265609184 |
|---|---|
| Provider Enumeration Date | 05/09/2008 |
| Last Update Date | 10/12/2023 |
| Certification Date | 10/12/2023 |
| Medicare PECOS PAC ID | 2466629217 |
|---|---|
| Medicare Enrollment ID | O20120118000693 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265609184 | NPI | - | NPPES |
| 037098 | Medicaid | OR |
| Provider Name | Judith A Watkins |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144258385 PECOS PAC ID: 8628044534 Enrollment ID: I20040902000461 |
| Provider Name | Ronald J Unger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760469324 PECOS PAC ID: 2961442934 Enrollment ID: I20050510000073 |
| Provider Name | Jennifer Bucholtz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548359433 PECOS PAC ID: 7618115148 Enrollment ID: I20130523000027 |
| Provider Name | Erik P Morris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467703520 PECOS PAC ID: 3577716422 Enrollment ID: I20140520002016 |
| Provider Name | Sandra Macejko Starr |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265587851 PECOS PAC ID: 1456657840 Enrollment ID: I20160310001958 |
| Provider Name | Shelia Stigall |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982001376 PECOS PAC ID: 7911276860 Enrollment ID: I20170707002364 |
| Provider Name | Lauren Moyer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831404482 PECOS PAC ID: 5890064497 Enrollment ID: I20170712002713 |
| Provider Name | Claude Hall |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760740070 PECOS PAC ID: 1557630118 Enrollment ID: I20170713001021 |
| Provider Name | Jordan Winter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720226913 PECOS PAC ID: 1658642913 Enrollment ID: I20170803003901 |
| Provider Name | Rachel Elise Mccann |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033452891 PECOS PAC ID: 8325468382 Enrollment ID: I20201014000480 |
| Provider Name | Robert Jay Didericksen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407231244 PECOS PAC ID: 0143656710 Enrollment ID: I20210618001566 |
| Provider Name | Megan Post |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528477064 PECOS PAC ID: 0941697585 Enrollment ID: I20220428001449 |
| Provider Name | Melanie K Velez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033870407 PECOS PAC ID: 0749677169 Enrollment ID: I20220503001273 |
| Provider Name | Kelsey M Pemberton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265871560 PECOS PAC ID: 1759761067 Enrollment ID: I20220705001098 |
| Provider Name | Jennifer C Ablow |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1033683560 PECOS PAC ID: 7911375993 Enrollment ID: I20221122003217 |
| Provider Name | Kara L Bastien |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1487018073 PECOS PAC ID: 3476904897 Enrollment ID: I20240110003542 |
| Provider Name | Ruth A Ralph |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1457692899 PECOS PAC ID: 5395196604 Enrollment ID: I20240111001894 |
| Provider Name | Julie Kay Mott |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1265847271 PECOS PAC ID: 7810340809 Enrollment ID: I20240125003195 |
| Provider Name | Eric Lackie |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1013006170 PECOS PAC ID: 6305133315 Enrollment ID: I20240130002357 |
| Provider Name | Jasmin Chrzan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1376109603 PECOS PAC ID: 0143673665 Enrollment ID: I20240131001674 |
| Provider Name | Alexa Dion Jefferis |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1184989857 PECOS PAC ID: 4587008354 Enrollment ID: I20240220003232 |
| Provider Name | Kendra Colacchio Tullos |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134770837 PECOS PAC ID: 6002252657 Enrollment ID: I20240306001753 |
| Provider Name | Beverly Jo Hoberg |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1932472677 PECOS PAC ID: 9537505490 Enrollment ID: I20240313003638 |
Emerald Tms, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1140 Willagillespie Rd Ste 44, Eugene, OR 97401 Phone: 541-735-3241 | |
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University Of Oregon Counseling Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1590 East 13th Avenue, Eugene, OR 97403 Phone: 541-346-3227 Fax: 541-346-2842 | |
Steve Pethick, Phd Pc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 401 E 10th Ave Ste 530, Eugene, OR 97401 Phone: 541-687-7787 Fax: 855-646-7433 | |
Behavioral Health Center Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 399 E 10th Ave, Suite #113, Eugene, OR 97401 Phone: 541-342-8208 Fax: 541-687-8159 | |
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