Individual provider Active NPI

Kendall Thornton, PSYD

  • Clinical Psychologist
  • Eugene, OR
National Provider Identifier
1083199038
Registry record updated Sep 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2936 Issued in OR
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

Updated by the provider on Sep 26, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
2936ORMDCounselor

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.