Siskiyou Psychology LLC

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

Legal business name

SISKIYOU PSYCHOLOGY LLC

Practice address

204 W 9TH St
Medford, OR 97501-3135

Phone

(888) 556-7282

Fax

(458) 203-5051

NPI assigned

Mar 31, 2026

Organization subpart

No

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

Authorized official

Name

Jennifer Mathews

Title

Owner

Phone

(314) 757-4969

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1774915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774915200000",
    "number": "1104766765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1787",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975010261",
            "telephone_number": "888-556-7282",
            "fax_number": "458-203-5051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 W 9TH ST",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975013135",
            "telephone_number": "888-556-7282",
            "fax_number": "458-203-5051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SISKIYOU PSYCHOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-31",
        "last_updated": "2026-03-31",
        "certification_date": "2026-03-31",
        "status": "A",
        "authorized_official_last_name": "MATHEWS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-757-4969"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amara Devi Sinnhuber
• Robert C Sinnott, M.D.
• Brian James Sinsabaugh
• Dawn Sipes
• Siskiyou Anestesia Group,LLC
• Siskiyou Vital Medicine LLC
• Sisters of Providence in Oregon
• Brian Skene, M.D.
• Brittany Anne Skevington, RN, BSN
• Robert C Skidmore, PHD, MDIV, MA, LPC

• Clinical Neuropsychologist in Medford, OR
• Providers in Medford, OR by specialty
• Clinical Neuropsychologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2026; 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.