Dr. E. Ala Shavana Fineberg, LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

1698 Issued in OR

Legal business name

DR. E. ALA SHAVANA FINEBERG, LLC

Practice address

124 SW H St Ste 4
Grants Pass, OR 97526-2500

Phone

(541) 846-0590

NPI assigned

Nov 9, 2010

Last updated

Nov 9, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ellen Joan Fineberg, PH.D.NPI 1073707097

Title

Owner

Phone

(541) 846-0590

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ellen Joan Fineberg, PH.D.

  • Clinical Psychologist
  • Grants Pass, OR
  • NPI 1073707097
  Authorized official Same address or phone

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

{
    "created_epoch": "1289260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289260800000",
    "number": "1285935163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 474",
            "city": "WILLIAMS",
            "state": "OR",
            "postal_code": "975440474",
            "telephone_number": "541-846-0590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 SW H ST STE 4",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975262500",
            "telephone_number": "541-846-0590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. E. ALA SHAVANA FINEBERG, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-09",
        "last_updated": "2010-11-09",
        "status": "A",
        "authorized_official_last_name": "FINEBERG",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_middle_name": "JOAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-846-0590",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OR",
            "license": "1698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lydia Mariah Douglas, CPM, LDM
• Alicia Louise Dove
• Hannah Downing
• Colin Doyle, LMT
• Rochelle Doyle, QMHA
• Cathryn Diann Draper, ARNP
• Donald Ray Draper, DMD
• Jodi Lee Droesch
• Erich Drossel, PT
• Jeffrey Allen Dryden, D.D.S.

• Clinical Psychologist in Grants Pass, OR
• Providers in Grants Pass, OR by specialty
• Clinical Psychologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2010; 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.