Willow Huffine, PH.D.
Individual provider Active NPI Psychologist · Bend, OR
NPI 1275864993 · NPPES record last updated Jun 12, 2023
Key facts
- NPI
- 1275864993
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychologist 103T00000X
- License
- 1547 (OR)
- Practice address
- 2600 NE Neff Rd
Bend, OR 97701-6337 - Phone
- (541) 706-4800
- Fax
- (541) 706-4806
- NPI assigned
- Jan 20, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 12
Medicare Care Compare profile
- Specialty
- Clinical Psychologist
- Education
- Other, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- St Charles Health System Inc
Practice addresses (Care Compare)
1253 NW Canal Blvd
Redmond, OR 97756-1334
Phone (541) 548-8131
2600 NE Neff Rd
Bend, OR 97701-6337
Phone (541) 706-2768
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150817002629 | OR | Practitioner - Clinical Psychologist | 5698080869 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23775 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Charles Health System, Inc. | Current |
Accepting new patients | |
| St. Charles Health System, Inc. | Current |
Accepting new patients | |
| St. Charles Health System, Inc. | Current | Accepting new patients | |
| Samantha J Vigneri | Psychologist | Past | Accepting new patients |
Locations
29358 Network Pl
Chicago, IL 60673
2500 NE Neff Rd
Bend, OR 97701
Phone (541) 388-4333
2600 NE Neff Rd
Bend, OR 97701
Phone (541) 706-3700
2542 NE Courtney Dr
Bend, OR 97701
Phone (541) 322-2768
1253 NW Canal Blvd
Redmond, OR 97756
Phone (541) 548-8131
211 NW Larch Ave
Redmond, OR 97756
Phone (541) 548-2164
Interoperability endpoints
- whuffine17547@secure.stcharleshealthcare.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 1547 | OR | Yes |
Addresses
Primary practice location
2600 NE Neff Rd
Bend, OR 97701-6337
Mailing address
PO Box 5579
Bend, OR 97708-5579
Phone (541) 706-2768
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | whuffine17547@secure.stcharleshealthcare.org |
Other providers in Bend, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 12, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.