Organization Active NPI

Teri L. Strong, PHD, LLC

  • Psychologist
  • Eugene, OR
National Provider Identifier
1245635002
Registry record updated Sep 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
1258 Issued in OR
Legal business name
TERI L. STRONG, PHD, LLC
Practice address
66 Club Road
Suite 360
Eugene, OR 97401-2463
Phone
(541) 606-4209
Fax
(541) 972-8779
NPI assigned
Oct 23, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2023

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

Authorized official

Name
Elizabeth Hatch
Title
Credentialing/Office Manager
Phone
(541) 606-4209

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X 1258 OR Primary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X 1258 OR
Adult Psychiatric/Mental Health Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WP0809X 080046006 OR

Addresses

Primary practice location

66 Club Road
Suite 360
Eugene, OR 97401-2463

Mailing address

66 Club Road
Suite 360
Eugene, OR 97401-2463
Phone (541) 606-4209

Other identifiers 1

IdentifierTypeStateIssuer
500691345MedicaidOR

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150616001021 OR Part B Supplier - Clinic/Group Practice 9436470606 Receives reassigned benefits from 2 practitioners
Practice locations: Eugene, OR

National Provider Directory

National Provider Directory

Locations

4135 Quest Dr
Eugene, OR 97402
Phone (541) 461-8006

44 Club Rd
Ste 200
Eugene, OR 97401
Phone (254) 393-5983

Practitioners & affiliated clinicians

Practitioners 2

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": "1414022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694995200000",
    "number": "1245635002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 CLUB ROAD",
            "address_2": "SUITE 360",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974012463",
            "telephone_number": "541-606-4209",
            "fax_number": "541-972-8779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 CLUB ROAD",
            "address_2": "SUITE 360",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974012463",
            "telephone_number": "541-606-4209",
            "fax_number": "541-972-8779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERI L. STRONG, PHD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-23",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-18",
        "status": "A",
        "authorized_official_last_name": "HATCH",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "CREDENTIALING/OFFICE MANAGER",
        "authorized_official_telephone_number": "541-606-4209"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "OR",
            "license": "1258",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "OR",
            "license": "1258",
            "primary": false
        },
        {
            "code": "163WP0809X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "OR",
            "license": "080046006",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500691345",
            "state": "OR"
        }
    ],
    "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 Sep 18, 2023; 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.