Quantum Wellness

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

QUANTUM WELLNESS

Doing business as

Quantum Wellness

Practice address

3418 Goldberry LN
Eugene, OR 97404-2037

Phone

(858) 997-7451

NPI assigned

Apr 26, 2024

Last updated

Apr 26, 2024By 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. Jorge Correa, PH.D.NPI 1770159170

Title

Director

Phone

(858) 997-7451

Specialties & licenses 1

Addresses

Other names 1

• QUANTUM WELLNESS Doing business as

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.

• Jorge Correa

  • Marriage & Family Therapist
  • Eugene, OR
  • NPI 1770159170
  NPD Authorized official

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

{
    "created_epoch": "1714089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714089600000",
    "number": "1336995737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 41153",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974040306",
            "telephone_number": "858-997-7451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3418 GOLDBERRY LN",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974042037",
            "telephone_number": "858-997-7451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUANTUM WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-26",
        "last_updated": "2024-04-26",
        "certification_date": "2024-04-26",
        "status": "A",
        "authorized_official_last_name": "CORREA",
        "authorized_official_first_name": "JORGE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "858-997-7451",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "QUANTUM WELLNESS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Marriage & Family Therapist in Eugene, OR
• Providers in Eugene, OR by specialty
• Marriage & Family Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2024; 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.