Individual provider Active NPI

Cora G Hart, PHD

  • Psychologist
  • Winston, OR
National Provider Identifier
1083016695
Registry record updated Jul 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
2474 Issued in OR
Practice address
671 SW Main St
Winston, OR 97496
Phone
(541) 492-4550
Fax
(541) 492-4553
NPI assigned
Sep 25, 2014
Last updated
Jul 31, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 2474 OR Primary

Addresses

Primary practice location

671 SW Main St
Winston, OR 97496

Mailing address

PO Box 12
Winston, OR 97496
Phone (541) 492-4550

Other names 1

  • Cora G Platt Former name

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
I20150102000973 OR Practitioner - Clinical Psychologist 5395068019 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Adapt CurrentSince Sep 25, 2014 Accepting new patients
Adapt CurrentSince Sep 25, 2014 Accepting new patients
Oregon Wellness Network LLC CurrentSince Aug 30, 2024 Accepting new patients
Adapt Current Accepting new patients

Locations

548 SE Jackson St
Roseburg, OR 97470
Phone (541) 492-0241

Organizations & group practices 4

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": "1411603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532995200000",
    "number": "1083016695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12",
            "city": "WINSTON",
            "state": "OR",
            "postal_code": "97496",
            "telephone_number": "541-492-4550",
            "fax_number": "541-492-4553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "671 SW MAIN ST",
            "city": "WINSTON",
            "state": "OR",
            "postal_code": "97496",
            "telephone_number": "541-492-4550",
            "fax_number": "541-492-4553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HART",
        "first_name": "CORA",
        "middle_name": "G",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-25",
        "last_updated": "2018-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OR",
            "license": "2474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CORA",
            "last_name": "PLATT",
            "middle_name": "G",
            "credential": "PHD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Winston, OR

Sources for this page

Verify at the official NPI Registry.