Active NPI
Chaunce R. Windle, PH.D.
- Psychologist
- Eugene, OR
National Provider Identifier
1326382300
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 2292
- Practice address
- 1210 Pearl St
Eugene, OR 97401-3573 - Phone
- (541) 580-2124
- Fax
- (541) 343-2663
- NPI assigned
- Nov 15, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 2292 | OR | Primary |
Addresses
Primary practice location
1210 Pearl St
Eugene, OR 97401-3573
Mailing address
1210 Pearl St
Eugene, OR 97401-3573
Phone (541) 580-2124
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2292 | OR | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optum Behavioral Care of Colorado, P.C. | Current | Accepting new patients | |
| Optum Behavioral Care of Colorado, P.C. | Current | Accepting new patients |
Locations
101 E Broadway
Ste 400
Eugene, OR 97401
Phone (541) 357-9764
101 E Broadway
Ste 103
Eugene, OR 97401
Phone (541) 357-9764
399 E 10th Ave
Eugene, OR 97401
Phone (541) 868-2004
940 Willamette St
Ste 230
Eugene, OR 97401
Phone (541) 354-9764
Interoperability endpoints
- chaunce.windle.1@28621.direct.athenahealth.com
Organizations & group practices 2
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.
-
- Clinical Psychologist
- Eugene, OR
- NPI 1316717747
-
- Clinical Social Worker
- De Pere, WI
- NPI 1396622494
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1352937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1352937600000",
"number": "1326382300",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1210 PEARL ST",
"city": "EUGENE",
"state": "OR",
"postal_code": "974013573",
"telephone_number": "541-580-2124",
"fax_number": "541-343-2663"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1210 PEARL ST",
"city": "EUGENE",
"state": "OR",
"postal_code": "974013573",
"telephone_number": "541-580-2124",
"fax_number": "541-343-2663"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WINDLE",
"first_name": "CHAUNCE",
"middle_name": "R.",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-11-15",
"last_updated": "2012-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "OR",
"license": "2292",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Eugene, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2012; 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.