Shoshana D Kerewsky PSYD LLC

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

SHOSHANA D KEREWSKY PSYD LLC

Practice address

132 E Broadway Ste 331
Eugene, OR 97401-3154

Phone

(541) 852-1900

Fax

(541) 393-9144

NPI assigned

Jun 19, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Shoshana Daniel Kerewsky, PSYD

Title

Manager

Phone

(541) 852-1900

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1529366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572998400000",
    "number": "1093209389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 843",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974400843",
            "telephone_number": "541-852-1900",
            "fax_number": "541-393-9144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 E BROADWAY STE 331",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974013154",
            "telephone_number": "541-852-1900",
            "fax_number": "541-393-9144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHOSHANA D KEREWSKY PSYD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-19",
        "last_updated": "2019-11-06",
        "status": "A",
        "authorized_official_last_name": "KEREWSKY",
        "authorized_official_first_name": "SHOSHANA",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "541-852-1900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychologist in Eugene, OR
• Providers in Eugene, OR by specialty
• Psychologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2019; 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.