Individual provider Active NPI

Nicholas N. Hong, PH.D.

  • Clinical Psychologist
  • Eugene, OR
National Provider Identifier
1205265204
Registry record updated Dec 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
3216 Issued in OR
Practice address
207 E 5TH Ave Ste 260
Eugene, OR 97401-2762
Phone
(406) 314-0312
NPI assigned
Nov 11, 2013
Last updated
Dec 1, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 3216 OR Primary

Addresses

Primary practice location

207 E 5TH Ave Ste 260
Eugene, OR 97401-2762

Mailing address

207 E 5TH Ave Ste 260
Eugene, OR 97401-2762
Phone (406) 314-0312

Other practice location 1

1507 1st Ave W
Suite D
Kalispell, MT 59901-5785
Phone (406) 314-0312

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
3216ORMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1384128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701388800000",
    "number": "1205265204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 E 5TH AVE STE 260",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974012762",
            "telephone_number": "406-314-0312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 E 5TH AVE STE 260",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974012762",
            "telephone_number": "406-314-0312"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1507 1st Ave W",
            "address_2": "Suite D",
            "address_purpose": "LOCATION",
            "city": "Kalispell",
            "state": "MT",
            "postal_code": "599015785",
            "country_code": "US",
            "telephone_number": "406-314-0312",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HONG",
        "first_name": "NICHOLAS",
        "middle_name": "N.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-11-11",
        "last_updated": "2023-12-01",
        "certification_date": "2023-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OR",
            "license": "3216",
            "primary": true
        }
    ],
    "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 Dec 1, 2023; 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.