Chandra L. Perez, PSY.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

3722 Issued in OR

Practice address

101 E Broadway Ste 400
Eugene, OR 97401-3104

Phone

(541) 357-9764

NPI assigned

Sep 18, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other names 1

• Chandra L. Porter Former name

Medicare fee-for-service enrollment

Enrolled in MT, OR2 enrollments

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.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: chandra.perez.1@28621.direct.athenahealth.com

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.

• Optum Behavioral Care of Colorado, P.C.

  dba Eugene Center for Anxiety and Stress of Oregon

  • Clinical Psychologist
  • Eugene, OR
  • NPI 1316717747
  Medicare reassignment NPD
• Billings Advanced Psychiatry PLLC

  • Psychiatry Physician
  • Billings, MT
  • NPI 1922706985
  NPD
• Optum Behavioral Care of Colorado, P.C.

  • Clinical Social Worker
  • De Pere, WI
  • NPI 1396622494
  NPD
• Psychological Healthcare, PLLC

  • Professional Counselor
  • Syracuse, NY
  • NPI 1922109578
  NPD (past)

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

{
    "created_epoch": "1253232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697760000000",
    "number": "1326372681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2110 OVERLAND AVE",
            "address_2": "STE 108",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591026440",
            "telephone_number": "406-655-2136",
            "fax_number": "406-652-8997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E BROADWAY STE 400",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974013104",
            "telephone_number": "541-357-9764"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "515 28 3/4 Rd",
            "address_purpose": "LOCATION",
            "city": "Grand Junction",
            "state": "CO",
            "postal_code": "815015016",
            "country_code": "US",
            "telephone_number": "970-241-6023",
            "fax_number": "970-242-8330",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1732 S 72nd St W",
            "address_purpose": "LOCATION",
            "city": "Billings",
            "state": "MT",
            "postal_code": "591063538",
            "country_code": "US",
            "telephone_number": "406-655-2136",
            "fax_number": "406-652-8997",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "CHANDRA",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-18",
        "last_updated": "2023-10-20",
        "certification_date": "2023-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MT",
            "license": "2180",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MT",
            "license": "1047",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OR",
            "license": "3722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHANDRA",
            "last_name": "PORTER",
            "middle_name": "L.",
            "credential": "M.S.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Maja Sharie Perez Ortiz, BS
• Alexandra Perez Urbina, LCSW
• Harold Perez-Gil, M.D.
• Luzandrea Perez-Ponce
• Ariana Perez
• Jorge Alberto Perez
• Lauren Marie Perez
• Yubitza Perez
• Performance Physical Therapy, Inc.
• Michelle J.G. Perin-Callahan, MS

• Psychologist in Eugene, OR
• Providers in Eugene, OR by specialty
• Psychologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.