Sacred Space Psychotherapy LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

SACRED SPACE PSYCHOTHERAPY LLC

Practice address

541 Willamette St Ste 209
Eugene, OR 97401-2694

Phone

(541) 631-0848

Fax

(541) 224-5444

NPI assigned

Apr 1, 2026

Last updated

Apr 1, 2026By 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. Amada L Jimenez, PSYDNPI 1609118850

Title

Psychologist

Phone

(808) 764-4043

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.

• Amada L Jimenez, PSYD

  • Clinical Psychologist
  • Eugene, OR
  • NPI 1609118850
  NPD Authorized official

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

{
    "created_epoch": "1775001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775001600000",
    "number": "1326988825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "541 WILLAMETTE ST STE 209",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974012694",
            "telephone_number": "541-631-0848",
            "fax_number": "541-224-5444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "541 WILLAMETTE ST STE 209",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974012694",
            "telephone_number": "541-631-0848",
            "fax_number": "541-224-5444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SACRED SPACE PSYCHOTHERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-01",
        "last_updated": "2026-04-01",
        "certification_date": "2026-04-01",
        "status": "A",
        "authorized_official_last_name": "JIMENEZ",
        "authorized_official_first_name": "AMADA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "808-764-4043",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Eugene, OR
• Providers in Eugene, OR by specialty
• Community/Behavioral Health Agency in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2026; 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.