Genevieve Rooth Strange, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

2209 Issued in OR

Practice address

2659 Commercial St SE Ste 216
Salem, OR 97302-4496

Phone

(971) 915-0195

NPI assigned

Dec 21, 2012

Last updated

Oct 7, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1356048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633564800000",
    "number": "1265778039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 W ELLENDALE AVE STE 103-322",
            "city": "DALLAS",
            "state": "OR",
            "postal_code": "973381456",
            "telephone_number": "971-915-0195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2659 COMMERCIAL ST SE STE 216",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973024496",
            "telephone_number": "971-915-0195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRANGE",
        "first_name": "GENEVIEVE",
        "middle_name": "ROOTH",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-21",
        "last_updated": "2021-10-07",
        "certification_date": "2021-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": "02-11-53",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OR",
            "license": "2209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra L. Stradley, LCSW
• Stacy Burton Straight, CSWA
• Floyd Strand, M.D.
• Suzanne Forman Strand, DO
• Charity Grae Strange
• Misty R Strasser, PMHNP
• Jasmine Strauss
• William Steven Kent Strauss, MD
• Julie Marie Straw, PHARM. D
• David Richard Street, DC

• Clinical Psychologist in Salem, OR
• Providers in Salem, OR by specialty
• Clinical Psychologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2021; 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.