Center for Wellness Psychology, LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

CENTER FOR WELLNESS PSYCHOLOGY, LLC

Practice address

219 NW E St Ste NE
Grants Pass, OR 97526-2045

Phone

(541) 315-3441

NPI assigned

Apr 19, 2024

Last updated

Dec 6, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Lorie Decarvalho, PHDNPI 1366480915

Title

President/ Owner

Phone

(541) 315-3441

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lorie T Decarvalho, PH. D.

  • Clinical Psychologist
  • Grants Pass, OR
  • NPI 1366480915
  NPD Authorized official

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

{
    "created_epoch": "1713484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733443200000",
    "number": "1528813862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1268",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975280313",
            "telephone_number": "541-315-3441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 NW E ST STE NE",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975262045",
            "telephone_number": "541-315-3441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR WELLNESS PSYCHOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-19",
        "last_updated": "2024-12-06",
        "certification_date": "2024-12-06",
        "status": "A",
        "authorized_official_last_name": "DECARVALHO",
        "authorized_official_first_name": "LORIE",
        "authorized_official_title_or_position": "PRESIDENT/ OWNER",
        "authorized_official_telephone_number": "541-315-3441",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Castle, D.P.M.
• Kenneth F Castle, DDS
• Callie Summerfield Cavener
• Monica Ann Cazares
• Triniti Jewel Cecilio-Barei
• Kayleen Chacey, QHMA
• Peggy Violet Chaidez, LPN
• Amrita Chakraborty
• Ian James Chamberlain, PA-C
• Jon N Chambers, D.C.

• Clinical Psychologist in Grants Pass, OR
• Providers in Grants Pass, OR by specialty
• Clinical Psychologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2024; 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.