Individual provider Active NPI

Janet Sue Foliano, PSYD

  • Psychologist
  • Bend, OR
National Provider Identifier
1073791497
Registry record updated Jan 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
100240 Issued in OR
Practice address
376 SW Bluff Dr Ste 5
Bend, OR 97702-1399
Phone
(541) 787-8530
Fax
(541) 417-4607
NPI assigned
Feb 7, 2008
Last updated
Jan 3, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 100240 OR Primary
Clinical Psychologist 103TC0700X 3427 CO

Addresses

Primary practice location

376 SW Bluff Dr Ste 5
Bend, OR 97702-1399

Mailing address

2121 NW West Hills Ave
Bend, OR 97703-1044
Phone (541) 787-8530

Other identifiers 1

IdentifierTypeStateIssuer
500668080MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 1, 2025 through Jan 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3427COMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Janet Foliano PSYD LLC Current Accepting new patients
Team Centers Inc Psychologist Past Accepting new patients

Locations

376 SW Bluff Dr
Ste 5
Bend, OR 97702
Phone (458) 281-0413

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": "1202342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735862400000",
    "number": "1073791497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 NW WEST HILLS AVE",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977031044",
            "telephone_number": "541-787-8530",
            "fax_number": "541-417-4607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "376 SW BLUFF DR STE 5",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977021399",
            "telephone_number": "541-787-8530",
            "fax_number": "541-417-4607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOLIANO",
        "first_name": "JANET",
        "middle_name": "SUE",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-07",
        "last_updated": "2025-01-03",
        "certification_date": "2025-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OR",
            "license": "100240",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "3427",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500668080",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bend, OR

Sources for this page

Verify at the official NPI Registry.