Individual provider Active NPI

Patricia Marie White, PH.D.

  • Clinical Psychologist
  • Eugene, OR
National Provider Identifier
1447372537
Registry record updated Mar 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2093 Issued in OR
Practice address
3355 Chad Drive HBPC 2H203
Eugene, OR 97408
Phone
(541) 607-0897
NPI assigned
Apr 6, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cognitive & Behavioral Psychologist 103TB0200X 2093 OR
Clinical Psychologist 103TC0700X 2093 OR Primary

Addresses

Primary practice location

3355 Chad Drive HBPC 2H203
Eugene, OR 97408

Mailing address

3355 Chad Drive
HBPC 2H203
Eugene, OR 97408
Phone (541) 607-0897

Other practice location 1

66 Club Rd Ste 160
Eugene, OR 97401-2439
Phone (541) 345-1722

Other identifiers 1

IdentifierTypeStateIssuer
500726280MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170810001443 OR Practitioner - Clinical Psychologist 1658642590 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Amber Benson Pmhnp PCGroup PAC ID 3072786755, 24 clinicians

Practice addresses (Care Compare)

66 Club Rd
Suite 160
Eugene, OR 97401-2439
Phone (541) 345-1722

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Amber Benson Pmhnp PC CurrentSince Jul 21, 2017 Accepting new patients

Locations

66 Club Rd
Ste 160
Eugene, OR 97401
Phone (541) 345-1722

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678233600000",
    "number": "1447372537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3355 CHAD DRIVE",
            "address_2": "HBPC 2H203",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "97408",
            "telephone_number": "541-607-0897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3355 CHAD DRIVE HBPC 2H203",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "97408",
            "telephone_number": "541-607-0897"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "66 Club Rd Ste 160",
            "address_purpose": "LOCATION",
            "city": "Eugene",
            "state": "OR",
            "postal_code": "974012439",
            "country_code": "US",
            "telephone_number": "541-345-1722",
            "fax_number": "541-485-7049",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITE",
        "first_name": "PATRICIA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-06",
        "last_updated": "2023-03-08",
        "certification_date": "2023-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "OR",
            "license": "2093",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OR",
            "license": "2093",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500726280",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

Verify at the official NPI Registry.