Active NPI
Telemedpsych LLC
- Behavioral Neurology & Neuropsychiatry Physician
- Grants Pass, OR
National Provider Identifier
1063380913
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavioral Neurology & Neuropsychiatry Physician
- Legal business name
- TELEMEDPSYCH LLC
- Practice address
- 1015 NW Starlite PL
Grants Pass, OR 97526-1165 - Phone
- (801) 602-5939
- Fax
- (800) 433-1396
- NPI assigned
- Oct 23, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lorraine Davies, MD
- Title
- Owner
- Phone
- (801) 602-5939
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavioral Neurology & Neuropsychiatry Physician | 2084B0040X | Primary |
Addresses
Primary practice location
1015 NW Starlite PL
Grants Pass, OR 97526-1165
Mailing address
PO Box 1787
Medford, OR 97501-0261
Phone (541) 500-8655
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1761177600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1761177600000",
"number": "1063380913",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1787",
"city": "MEDFORD",
"state": "OR",
"postal_code": "975010261",
"telephone_number": "541-500-8655",
"fax_number": "800-433-1396"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1015 NW STARLITE PL",
"city": "GRANTS PASS",
"state": "OR",
"postal_code": "975261165",
"telephone_number": "801-602-5939",
"fax_number": "800-433-1396"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TELEMEDPSYCH LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-10-23",
"last_updated": "2025-10-23",
"certification_date": "2025-10-23",
"status": "A",
"authorized_official_last_name": "DAVIES",
"authorized_official_first_name": "LORRAINE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "801-602-5939",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2084B0040X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grants Pass, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.