Individual provider Active NPI

Mollie Painton, PSY.D.

  • Clinical Psychologist
  • Eugene, OR
National Provider Identifier
1265583702
Registry record updated Sep 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2975 Issued in OR
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

Updated by the provider on Sep 25, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.
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

LicenseStateTypeSpecialty
2975ORMDClinical Psychologist
1801COMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Interplay PC Clinical CurrentSince Nov 8, 2020 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.

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

Verify at the official NPI Registry.