Individual provider Active NPI

Craig Gerald Thorsen, PH.D.

  • Psychologist
  • Eugene, OR
National Provider Identifier
1578629796
Registry record updated Jan 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
0755 Issued in OR
Practice address
1045 Willagillespie Rd
Ste 200
Eugene, OR 97401-6798
Phone
(541) 343-7171
Fax
(541) 284-1765
NPI assigned
Dec 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Child & Adolescent Psychologist 103TC2200X 0755 OR
Family Psychologist 103TF0000X 0755 OR
Psychologist 103T00000X 0755 OR Primary

Addresses

Primary practice location

1045 Willagillespie Rd
Ste 200
Eugene, OR 97401-6798

Mailing address

1045 Willagillespie Rd
Suite 200
Eugene, OR 97401-6798
Phone (541) 343-7171

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)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
0755ORMDPsychologist
755ORMDNaturopath

Practice roles

OrganizationSpecialtyStatusNew patients
Health Psychology PC PastSince Jan 8, 2007 Accepting new patients

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": "1167350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454025600000",
    "number": "1578629796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1045 WILLAGILLESPIE RD",
            "address_2": "SUITE 200",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974016798",
            "telephone_number": "541-343-7171",
            "fax_number": "541-284-1765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1045 WILLAGILLESPIE RD",
            "address_2": "STE 200",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974016798",
            "telephone_number": "541-343-7171",
            "fax_number": "541-284-1765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THORSEN",
        "first_name": "CRAIG",
        "middle_name": "GERALD",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-29",
        "last_updated": "2016-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "OR",
            "license": "0755",
            "primary": false
        },
        {
            "code": "103TF0000X",
            "taxonomy_group": "",
            "desc": "Psychologist, Family",
            "state": "OR",
            "license": "0755",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OR",
            "license": "0755",
            "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 Jan 29, 2016; 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.