| Eugene Center For Anxiety And Stress, Llc | |
|
101 E Broadway Ste 400 Eugene OR 97401-3104 | |
| (541) 357-9764 | |
| Not Available |
| Full Name | Eugene Center For Anxiety And Stress, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 101 E Broadway Ste 400, Eugene, Oregon |
| Authorized Official Name and Position | Stacy Cloyd (SECRETARY) |
| Authorized Official Contact | 9046054986 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Eugene Center For Anxiety And Stress, Llc 101 E Broadway Ste 400 Eugene OR 97401-3104 Ph: (541) 357-9764 | Eugene Center For Anxiety And Stress, Llc 101 E Broadway Ste 400 Eugene OR 97401-3104 Ph: (541) 357-9764 |
| NPI Number | 1376015610 |
|---|---|
| Provider Enumeration Date | 12/27/2018 |
| Last Update Date | 07/25/2023 |
| Certification Date | 07/25/2023 |
| Medicare PECOS PAC ID | 3173859287 |
|---|---|
| Medicare Enrollment ID | O20190727000162 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376015610 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TB0200X | Psychologist - Cognitive & Behavioral | (* (Not Available)) | Secondary |
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Melody S George |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033409313 PECOS PAC ID: 9335307438 Enrollment ID: I20120221000529 |
| Provider Name | Ida Moadab |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1205147675 PECOS PAC ID: 4082940192 Enrollment ID: I20190727000175 |
| Provider Name | Chaunce R. Windle |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1326382300 PECOS PAC ID: 4880923663 Enrollment ID: I20190903002807 |
| Provider Name | Colleen Comeau |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1366995862 PECOS PAC ID: 5294162400 Enrollment ID: I20200228001222 |
| Provider Name | Michael Andrew Unger |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1538581905 PECOS PAC ID: 4284065111 Enrollment ID: I20200511000244 |
| Provider Name | Michael Louis Carrizales |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1477101160 PECOS PAC ID: 0547691909 Enrollment ID: I20200519001746 |
| Provider Name | Ron Miyaguchi |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1851784482 PECOS PAC ID: 1355762626 Enrollment ID: I20200522002250 |
| Provider Name | Shannon Lee Henry |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1730787755 PECOS PAC ID: 8729408174 Enrollment ID: I20201023000999 |
| Provider Name | Brittany Bonner-dillon |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1447502737 PECOS PAC ID: 4284052192 Enrollment ID: I20221103002344 |
| Provider Name | Uganda Tunisia Richardson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437317278 PECOS PAC ID: 2062721483 Enrollment ID: I20221116000666 |
| Provider Name | Alyssa Nevell |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1245970961 PECOS PAC ID: 9133594419 Enrollment ID: I20230419001602 |
| Provider Name | Chandra L. Perez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1326372681 PECOS PAC ID: 0648682211 Enrollment ID: I20231113000763 |
| Provider Name | Lisa Oland |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1437517562 PECOS PAC ID: 7810347945 Enrollment ID: I20240102001059 |
| Provider Name | Hannah Lukas |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1447612809 PECOS PAC ID: 8123470291 Enrollment ID: I20240115001158 |
| Provider Name | Fabiola Del Aguila |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1720283211 PECOS PAC ID: 9739329020 Enrollment ID: I20240201000437 |
| Provider Name | Gideon Shrier |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1144899766 PECOS PAC ID: 4587008479 Enrollment ID: I20240219003524 |
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