Organization Active NPI

Cherry Hills Neuropsychology LLC

  • Clinic/Center
  • Salem, OR
National Provider Identifier
1194402156
Registry record updated Jul 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
CHERRY HILLS NEUROPSYCHOLOGY LLC
Practice address
2659 Commercial St SE Ste 282
Salem, OR 97302-4385
Phone
(971) 301-4771
Fax
(971) 345-8179
NPI assigned
Jun 30, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2025

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

Authorized official

Name
Ashley Watts, PHDNPI 1568998763
Title
Member, Neuropsychologist
Phone
(971) 301-4771

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

2659 Commercial St SE Ste 282
Salem, OR 97302-4385

Mailing address

PO Box 13883
Salem, OR 97309-1883
Phone (971) 301-4771

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231002001664 OR Part B Supplier - Clinic/Group Practice 2365896883 Receives reassigned benefits from 1 practitioner
Practice locations: Salem, OR

National Provider Directory

National Provider Directory

Locations

2659 Commercial St SE
Ste 282
Salem, OR 97302
Phone (971) 301-4771

698 12th St SE
Ste 240
Salem, OR 97301
Phone (971) 301-4771

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1688083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753142400000",
    "number": "1194402156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13883",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973091883",
            "telephone_number": "971-301-4771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2659 COMMERCIAL ST SE STE 282",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973024385",
            "telephone_number": "971-301-4771",
            "fax_number": "971-345-8179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHERRY HILLS NEUROPSYCHOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-30",
        "last_updated": "2025-07-22",
        "certification_date": "2025-07-22",
        "status": "A",
        "authorized_official_last_name": "WATTS",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "MEMBER, NEUROPSYCHOLOGIST",
        "authorized_official_telephone_number": "971-301-4771",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.