Carrie Webster, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY.60818255 Issued in WA

Practice address

913 NW Garden Valley Blvd
Roseburg, OR 97471-6523

Phone

(541) 440-1000

NPI assigned

Sep 29, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1601337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601337600000",
    "number": "1194332528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "433 ARCHIE WAY NE",
            "city": "LUDOWICI",
            "state": "GA",
            "postal_code": "313167774",
            "telephone_number": "253-592-1470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "913 NW GARDEN VALLEY BLVD",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974716523",
            "telephone_number": "541-440-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBSTER",
        "first_name": "CARRIE",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-29",
        "last_updated": "2020-09-29",
        "certification_date": "2020-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "PY.60818255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "VA",
            "affiliation": "N",
            "address_1": "913 NW Garden Valley Blvd",
            "city": "Roseburg",
            "state": "OR",
            "country_code": "US",
            "postal_code": "974716523",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jacob Watters
• Kathleen M Waybrant, FNP
• Damian Michael Webber
• Marcia Marie Webber, AAS
• Victory L Webber
• Cecilia Webster
• Gabrielle Joan Webster
• Cale Wedell
• Jeremy James Wedge, RN, CNOR, RNFA
• Raven Weeks, FNP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2020; 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.