Steve Pethick, PHD PC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

1569 Issued in OR

Legal business name

STEVE PETHICK, PHD PC

Practice address

401 E 10TH Ave Ste 530
Eugene, OR 97401-3367

Phone

(541) 687-7787

Fax

(855) 646-7433

NPI assigned

Jun 24, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Stephen Pethick, PHDNPI 1356404172

Title

Clinical Psychologist

Phone

(541) 687-7787

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stephen Pethick, PHD

  • Clinical Psychologist
  • Eugene, OR
  • NPI 1356404172
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1403568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616976000000",
    "number": "1013322411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3163",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974030163",
            "telephone_number": "541-687-7787",
            "fax_number": "855-646-7433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 E 10TH AVE STE 530",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974013367",
            "telephone_number": "541-687-7787",
            "fax_number": "855-646-7433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVE PETHICK, PHD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-24",
        "last_updated": "2021-03-29",
        "certification_date": "2021-03-05",
        "status": "A",
        "authorized_official_last_name": "PETHICK",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "541-687-7787",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OR",
            "license": "1569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deanna Stepp
• Sterling Vision, PC
• Justina McCann Stern, M.S., CCC-SLP
• Althea Bonita Sterup
• Holly Steucke, LMT
• Hannah Stevens Nauman
• Andrew Michael Stevens
• Jeton Stevens
• Kayla S Stevens, PA
• Lisa Rose Stevens, RN

• Community/Behavioral Health Agency in Eugene, OR
• Providers in Eugene, OR by specialty
• Community/Behavioral Health Agency in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.