Organization Active NPI

Jennifer Hogansen, PHD, LLC

  • Clinical Psychologist
  • Eugene, OR
National Provider Identifier
1346846698
Registry record updated Dec 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
JENNIFER HOGANSEN, PHD, LLC
Practice address
3225 Willamette St Ste a
Eugene, OR 97405-3309
Phone
(855) 560-9005
NPI assigned
Dec 10, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2020

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

Authorized official

Name
Jennifer Hogansen, PHD
Title
Owner
Phone
(855) 560-9005

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

3225 Willamette St Ste a
Eugene, OR 97405-3309

Mailing address

3225 Willamette St Ste a
Eugene, OR 97405-3309
Phone (855) 560-9005

National Provider Directory

National Provider Directory

Locations

3225 Willamette St
Ste A
Eugene, OR 97405
Phone (855) 560-9005

NPI Registry JSON

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

{
    "created_epoch": "1607558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607558400000",
    "number": "1346846698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3225 WILLAMETTE ST STE A",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974053309",
            "telephone_number": "855-560-9005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3225 WILLAMETTE ST STE A",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974053309",
            "telephone_number": "855-560-9005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER HOGANSEN, PHD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-10",
        "last_updated": "2020-12-10",
        "certification_date": "2020-12-10",
        "status": "A",
        "authorized_official_last_name": "HOGANSEN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "855-560-9005",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "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 Dec 10, 2020; 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.