Active NPI
Kendall Thornton, PSYD
- Clinical Psychologist
- Eugene, OR
National Provider Identifier
1083199038
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 2936
- Practice address
- 1590 E 13TH Ave
Eugene, OR 97403 - Phone
- (541) 346-3227
- NPI assigned
- Sep 26, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 2936 | OR | Primary |
Addresses
Primary practice location
1590 E 13TH Ave
Eugene, OR 97403
Mailing address
1590 E 13TH Ave
Eugene, OR 97403
Phone (559) 977-1511
Other practice location 1
291 W 12th Ave
Eugene, OR 97401-3409
Phone (541) 625-0263
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2936 | OR | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kendall Thornton PSYD LLC | Current | Accepting new patients |
Locations
132 E Broadway
Ste 500
Eugene, OR 97401
Phone (541) 625-0263
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Eugene, OR
- NPI 1538720297
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1537920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537920000000",
"number": "1083199038",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1590 E 13TH AVE",
"city": "EUGENE",
"state": "OR",
"postal_code": "97403",
"telephone_number": "559-977-1511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1590 E 13TH AVE",
"city": "EUGENE",
"state": "OR",
"postal_code": "97403",
"telephone_number": "541-346-3227"
}
],
"practiceLocations": [
{
"address_1": "291 W 12th Ave",
"address_purpose": "LOCATION",
"city": "Eugene",
"state": "OR",
"postal_code": "974013409",
"country_code": "US",
"telephone_number": "541-625-0263",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "THORNTON",
"first_name": "KENDALL",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-09-26",
"last_updated": "2018-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "OR",
"license": "2936",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Eugene, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.