Active NPI
Lauren Vail, PSYD
- Psychologist
- Medford, OR
National Provider Identifier
1437673688
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 3133
- Practice address
- 1175 E Main St Ste 1C
Medford, OR 97504-7457 - Phone
- (541) 772-0127
- Fax
- (541) 772-0996
- NPI assigned
- Jul 31, 2017
- Last updated
- Oct 16, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 3133 | OR | Primary |
Addresses
Primary practice location
1175 E Main St Ste 1C
Medford, OR 97504-7457
Mailing address
1750 Nebraska Ave
Grants Pass, OR 97527-5700
Phone (541) 956-4943
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3133 | OR | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kairos Northwest | Current | Accepting new patients | |
| Morrison Child and Family Services | Past | Accepting new patients |
Locations
1750 Nebraska Ave
Grants Pass, OR 97527
Phone (541) 474-5579
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Portland, OR
- NPI 1346382975
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501459200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571184000000",
"number": "1437673688",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1750 NEBRASKA AVE",
"city": "GRANTS PASS",
"state": "OR",
"postal_code": "975275700",
"telephone_number": "541-956-4943"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1175 E MAIN ST STE 1C",
"city": "MEDFORD",
"state": "OR",
"postal_code": "975047457",
"telephone_number": "541-772-0127",
"fax_number": "541-772-0996"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAIL",
"first_name": "LAUREN",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-31",
"last_updated": "2019-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "OR",
"license": "3133",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Medford, OR
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.