Organization Active NPI

Vicki Lumley, PH.D., LLC

  • Clinical Psychologist
  • Medford, OR
National Provider Identifier
1407265176
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY 60310066 Issued in WA
Legal business name
VICKI LUMLEY, PH.D., LLC
Practice address
724 South Central Ave.
Suite 101
Medford, OR 97501-7851
Phone
(206) 327-4854
Fax
(541) 843-2832
NPI assigned
Aug 7, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Vicki A Lumley, PH.D.
Title
Owner
Phone
(253) 549-9917

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X PY 60310066 WA Primary

Addresses

Primary practice location

724 South Central Ave.
Suite 101
Medford, OR 97501-7851

Mailing address

295 Wells Fargo Dr
Jacksonville, OR 97530-9421
Phone (206) 327-4854

National Provider Directory

National Provider Directory

Locations

724 S Central Ave
Ste 101C
Medford, OR 97501
Phone (206) 327-4854

NPI Registry JSON

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

{
    "created_epoch": "1407369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1407265176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "295 WELLS FARGO DR",
            "city": "JACKSONVILLE",
            "state": "OR",
            "postal_code": "975309421",
            "telephone_number": "206-327-4854",
            "fax_number": "541-843-2832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "724 SOUTH CENTRAL AVE.",
            "address_2": "SUITE 101",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975017851",
            "telephone_number": "206-327-4854",
            "fax_number": "541-843-2832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICKI LUMLEY, PH.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-07",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "LUMLEY",
        "authorized_official_first_name": "VICKI",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-549-9917",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "PY 60310066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.