Individual provider Active NPI

Chaunce R. Windle, PH.D.

  • Psychologist
  • Eugene, OR
National Provider Identifier
1326382300
Registry record updated Nov 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
2292 Issued in OR
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

Updated by the provider on Nov 15, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190903002807 OR Practitioner - Clinical Psychologist 4880923663 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
2292ORMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Behavioral Care of Colorado, P.C. CurrentSince Aug 2, 2024 Accepting new patients
Optum Behavioral Care of Colorado, P.C. CurrentSince Aug 2, 2024 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.