Individual provider Active NPI

Angie Reather Cronin, PSY.D.

  • Clinical Psychologist
  • Eugene, OR
National Provider Identifier
1164821229
Registry record updated Feb 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
3029 Issued in OR
Practice address
399 E 10TH Ave
Eugene, OR 97401-3380
Phone
(541) 868-2004
NPI assigned
Aug 14, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 1480 MT
Clinical Psychologist 103TC0700X 170357 AK
Clinical Psychologist 103TC0700X 3029 OR Primary

Addresses

Primary practice location

399 E 10TH Ave
Eugene, OR 97401-3380

Mailing address

399 E 10TH Ave
Eugene, OR 97401-3380
Phone (541) 868-2004

Other practice location 1

2250 S Woodworth Loop Ste 202
Palmer, AK 99645-7457
Phone (907) 921-5050

Other names 1

  • Angie Nicole Reather Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, AK2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190402001677 OR Practitioner - Clinical Psychologist 3375884273 Reassigns benefits to 1 organization
I20220307001865 AK Practitioner - Clinical Psychologist 3375884273 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

399 E 10TH Ave
Eugene, OR 97401-3380
Phone (541) 868-2004

Merit-based Incentive Payment System (MIPS)

Final score
89.61 of 100Reported as group
Quality
71.98
Promoting interoperability
99
Improvement activities
40
Cost
77.55

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1480MTMDClinical Psychologist
3029ORMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services - Washington CurrentSince Jul 5, 2022 Accepting new patients
Optum Behavioral Care of Colorado, P.C. Clinical CurrentSince Feb 1, 2025 Accepting new patients
Optum Behavioral Care of Colorado, P.C. Clinical Current Accepting new patients
Optum Behavioral Care of Colorado, P.C. CurrentSince Feb 1, 2025 Accepting new patients
Providence Health & Services- Washington PastSince Jul 1, 2022 Accepting new patients

Locations

3760 Piper St
Ste 1108A
Anchorage, AK 99508
Phone (907) 212-6900

2250 S Woodworth Loop
Ste 202
Palmer, AK 99645
Phone (907) 761-5800

11000 Optum Cir
Eden Prairie, MN 55344
Phone (888) 445-8745

62930 Riley Rd
Ste 200
Bend, OR 97703
Phone (541) 330-1919

399 E 10th Ave
Eugene, OR 97401
Phone (541) 868-2004

Interoperability endpoints

  • Direct secure messaging: angie.cronin.1@28621.direct.athenahealth.com

Organizations & group practices 5

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": "1407974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771804800000",
    "number": "1164821229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "399 E 10TH AVE",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974013380",
            "telephone_number": "541-868-2004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "399 E 10TH AVE",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974013380",
            "telephone_number": "541-868-2004"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2250 S Woodworth Loop Ste 202",
            "address_purpose": "LOCATION",
            "city": "Palmer",
            "state": "AK",
            "postal_code": "996457457",
            "country_code": "US",
            "telephone_number": "907-921-5050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRONIN",
        "first_name": "ANGIE",
        "middle_name": "REATHER",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-14",
        "last_updated": "2026-02-23",
        "certification_date": "2026-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MT",
            "license": "1480",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AK",
            "license": "170357",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OR",
            "license": "3029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGIE",
            "last_name": "REATHER",
            "middle_name": "NICOLE",
            "credential": "PSYD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Eugene, OR

Sources for this page

Verify at the official NPI Registry.