Active NPI
Sally J Grosscup, PHD
- Psychologist
- Eugene, OR
National Provider Identifier
1609973338
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 658
- Practice address
- 1210 Pearl St
Eugene, OR 97401-3573 - Phone
- (541) 343-2663
- Fax
- (541) 343-2663
- NPI assigned
- Sep 17, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 | 658 | OR | Primary |
Addresses
Primary practice location
1210 Pearl St
Eugene, OR 97401-3573
Mailing address
1210 Pearl St
Eugene, OR 97401-3573
Phone (541) 343-2663
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 162859 | Medicaid | OR | |
| 162859 | Other | OR | OREGON GEPT OF HUMAN RES. |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158451200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786233600000",
"number": "1609973338",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1210 PEARL ST",
"city": "EUGENE",
"state": "OR",
"postal_code": "974013573",
"telephone_number": "541-343-2663",
"fax_number": "541-343-2663"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1210 PEARL ST",
"city": "EUGENE",
"state": "OR",
"postal_code": "974013573",
"telephone_number": "541-343-2663",
"fax_number": "541-343-2663"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROSSCUP",
"first_name": "SALLY",
"middle_name": "J",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-17",
"last_updated": "2026-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "OR",
"license": "658",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "162859",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OREGON GEPT OF HUMAN RES.",
"identifier": "162859",
"state": "OR"
}
],
"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 Aug 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.