Individual provider Active NPI

Lisa Sheeber

  • Clinical Psychologist
  • Eugene, OR
National Provider Identifier
1124459367
Registry record updated Oct 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2548 Issued in OR
Practice address
511 E 12TH Ave
Eugene, OR 97401-3608
Phone
(541) 246-2000
Fax
(541) 344-7595
NPI assigned
Dec 12, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 2548 OR Primary
Clinical Child & Adolescent Psychologist 103TC2200X 2548 OR

Addresses

Primary practice location

511 E 12TH Ave
Eugene, OR 97401-3608

Mailing address

511 E 12TH Ave
Eugene, OR 97401-3608
Phone (541) 246-2000

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

NPI Registry JSON

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

{
    "created_epoch": "1386806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445212800000",
    "number": "1124459367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 E 12TH AVE",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974013608",
            "telephone_number": "541-246-2000",
            "fax_number": "541-344-7595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 E 12TH AVE",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974013608",
            "telephone_number": "541-246-2000",
            "fax_number": "541-344-7595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEEBER",
        "first_name": "LISA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-12",
        "last_updated": "2015-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OR",
            "license": "2548",
            "primary": true
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "OR",
            "license": "2548",
            "primary": false
        }
    ],
    "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 Oct 19, 2015; 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.