Western Clinical & Forensic Services

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

WESTERN CLINICAL & FORENSIC SERVICES

Practice address

1400 Executive Pkwy Ste 260
Eugene, OR 97401-7121

Phone

(541) 802-6597

NPI assigned

Dec 6, 2018

Last updated

Dec 6, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mindi Weber

Title

Credentialing / Contract Manager

Phone

(801) 562-4484

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Breann Nicole Martin, PSYD

  • Forensic Psychologist
  • Eugene, OR
  • NPI 1053838581
  NPD
• Danielle M Shallcross, PSY. D.

  • Addiction (Substance Use Disorder) Psychologist
  • Brooklyn, NY
  • NPI 1225209448
  NPD
• Stacy Jean Nielsen, LCSW

  • Clinical Social Worker
  • Junction City, OR
  • NPI 1659608115
  NPD (past)

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

{
    "created_epoch": "1544054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544054400000",
    "number": "1114498854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 EXECUTIVE PKWY STE 260",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974017121",
            "telephone_number": "541-802-6597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 EXECUTIVE PKWY STE 260",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974017121",
            "telephone_number": "541-802-6597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN CLINICAL & FORENSIC SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-06",
        "last_updated": "2018-12-06",
        "status": "A",
        "authorized_official_last_name": "WEBER",
        "authorized_official_first_name": "MINDI",
        "authorized_official_title_or_position": "CREDENTIALING / CONTRACT MANAGER",
        "authorized_official_telephone_number": "801-562-4484"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1902095334",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa West, LAC
• Olivia Annette West, MSW
• Sarah Westbrook, QMHA-R, BS
• Maria Westerhoff
• Melissa Westerman
• Western Oregon Wellness Chiropractic Clinic
• Western Oregon Wellness Chiropractic Clinic, LLC
• Alexander Paul Weston, BS
• Kyla Landt Wetherell
• Valinda Sue Wetmore, LCSW

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

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