Active NPI
Mollie Painton, PSY.D.
- Clinical Psychologist
- Eugene, OR
National Provider Identifier
1265583702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 2975
- Practice address
- 132 E Broadway Ste 218
Eugene, OR 97401-3150 - Phone
- (970) 482-5878
- NPI assigned
- Jan 12, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 1801 | CO | |
| Clinical Psychologist | 103TC0700X | 2975 | OR | Primary |
Addresses
Primary practice location
132 E Broadway Ste 218
Eugene, OR 97401-3150
Mailing address
132 E Broadway Ste 218
Eugene, OR 97401-3150
Phone (970) 482-5878
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Mar 22, 2024 through Mar 22, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2975 | OR | MD | Clinical Psychologist |
| 1801 | CO | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Interplay PC | Clinical | Current | Accepting new patients |
Locations
2601 S Lemay Ave
#7435
Fort Collins, CO 80525
Phone (970) 482-5878
132 E Broadway
Ste 218
Eugene, OR 97401
Phone (503) 836-3118
Organizations & group practices 1
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.
-
- Clinical Psychologist
- Eugene, OR
- NPI 1124550546
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600992000000",
"number": "1265583702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "132 E BROADWAY STE 218",
"city": "EUGENE",
"state": "OR",
"postal_code": "974013150",
"telephone_number": "970-482-5878"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "132 E BROADWAY STE 218",
"city": "EUGENE",
"state": "OR",
"postal_code": "974013150",
"telephone_number": "970-482-5878"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAINTON",
"first_name": "MOLLIE",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-12",
"last_updated": "2020-09-25",
"certification_date": "2020-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CO",
"license": "1801",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "OR",
"license": "2975",
"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 Sep 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.