Active NPI
Shin Shin Tang PHD. Inc
- Psychologist
- Eugene, OR
National Provider Identifier
1366922346
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 2196
- Legal business name
- SHIN SHIN TANG PHD. INC
- Practice address
- 1339 Oak St
Eugene, OR 97401-3582 - Phone
- (541) 953-4969
- NPI assigned
- Aug 18, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shin Shin Tang, PH.D.
- Title
- President
- Phone
- (541) 953-4969
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 2196 | OR | Primary |
Addresses
Primary practice location
1339 Oak St
Eugene, OR 97401-3582
Mailing address
1339 Oak St
Eugene, OR 97401-3582
Phone (541) 953-4969
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1339 Oak St
Eugene, OR 97401
Phone (541) 735-3665
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Psychologist
- Eugene, OR
- NPI 1598062846
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534550400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1534550400000",
"number": "1366922346",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1339 OAK ST",
"city": "EUGENE",
"state": "OR",
"postal_code": "974013582",
"telephone_number": "541-953-4969"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1339 OAK ST",
"city": "EUGENE",
"state": "OR",
"postal_code": "974013582",
"telephone_number": "541-953-4969"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHIN SHIN TANG PHD. INC",
"organizational_subpart": "NO",
"enumeration_date": "2018-08-18",
"last_updated": "2018-08-18",
"status": "A",
"authorized_official_last_name": "TANG",
"authorized_official_first_name": "SHIN SHIN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "541-953-4969",
"authorized_official_credential": "PH.D."
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist",
"state": "OR",
"license": "2196",
"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 Aug 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.