Individual provider Active NPI

Karyn Lynn Angell, PH.D.

  • Psychologist
  • Eugene, OR
National Provider Identifier
1073635678
Registry record updated Nov 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
1851 Issued in OR
Practice address
1852 Willamette St
Eugene, OR 97401-4044
Phone
(541) 434-0403
Fax
(541) 342-3959
NPI assigned
Apr 4, 2007
Last updated
Nov 27, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 1851 OR Primary
Health Psychologist 103TH0004X

Addresses

Primary practice location

1852 Willamette St
Eugene, OR 97401-4044

Mailing address

33403 Hampton Rd
Eugene, OR 97405-9539
Phone (541) 683-8142

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160321001419 OR Practitioner - Clinical Psychologist 1456658434 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

7455 SW Beveland Rd
Tigard, OR 97223-8610
Phone (503) 624-2600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
1851ORMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Western Psychological and Counseling Services LLC CurrentSince May 31, 2023 Accepting new patients
Western Psychological and Counseling Services LLC CurrentSince May 31, 2023 Accepting new patients

Locations

4185 SW Research Way
Ste 110
Corvallis, OR 97333
Phone (541) 257-5500

44 Club Rd
Ste 200
Eugene, OR 97401
Phone (254) 393-5983

66 Club Rd
Ste 120
Eugene, OR 97401
Phone (541) 345-2800

66 Club Rd
Ste 360
Eugene, OR 97401
Phone (541) 240-2100

880 82nd Dr
Gladstone, OR 97027
Phone (503) 626-9494

7455 SW Beveland Rd
Tigard, OR 97223
Phone (503) 624-2600

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.karynangell@151848.advancedmd-direct.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732665600000",
    "number": "1073635678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33403 HAMPTON RD",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974059539",
            "telephone_number": "541-683-8142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1852 WILLAMETTE ST",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974014044",
            "telephone_number": "541-434-0403",
            "fax_number": "541-342-3959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANGELL",
        "first_name": "KARYN",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-04",
        "last_updated": "2024-11-27",
        "certification_date": "2024-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OR",
            "license": "1851",
            "primary": true
        },
        {
            "code": "103TH0004X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

Verify at the official NPI Registry.