Active NPI
Stephen R Condon, PH.D.
- Psychologist
- Pendleton, OR
National Provider Identifier
1689604290
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 570
- Practice address
- 27 SW Frazer Ave
Pendleton, OR 97801-2147 - Phone
- (541) 278-2222
- Fax
- (541) 276-8405
- NPI assigned
- Jul 3, 2006
- Last updated
- Feb 18, 2026
- Sex
- Male
- 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 | 570 | OR | Primary |
Addresses
Primary practice location
27 SW Frazer Ave
Pendleton, OR 97801-2147
Mailing address
27 SW Frazer Ave
Pendleton, OR 97801-2147
Phone (541) 278-2222
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 808119000 | Other | OR | REGENCE BLUE CROSS BLUE S |
| 010673 | Medicaid | OR |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070501000027 | OR | Practitioner - Clinical Psychologist | 1951375864 | Practice locations: Pendleton, OR |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1977
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
125 SE Court Ave
Suite 4
Pendleton, OR 97801-2251
Phone (541) 278-4123
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": "1151884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771372800000",
"number": "1689604290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27 SW FRAZER AVE",
"city": "PENDLETON",
"state": "OR",
"postal_code": "978012147",
"telephone_number": "541-278-2222",
"fax_number": "541-276-8405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27 SW FRAZER AVE",
"city": "PENDLETON",
"state": "OR",
"postal_code": "978012147",
"telephone_number": "541-278-2222",
"fax_number": "541-276-8405"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONDON",
"first_name": "STEPHEN",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-03",
"last_updated": "2026-02-18",
"certification_date": "2026-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "OR",
"license": "570",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE BLUE CROSS BLUE S",
"identifier": "808119000",
"state": "OR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010673",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pendleton, OR
- Community Counseling Solutions (New Roads 2)
- Community Counseling Solutions (Salmon Run 2)
- Community Counseling Solutions
- Community Counseling Solutions
- Community Counseling Solutions
- Confederated Tribes of the Umatilla Indian Reservation (Ctuir Umatilla Tribal Fire Department)
- Lydia Marie Conley
- Karen Marie Cook, FNP
- Joseph W Cooney
- Patricia Cooper
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.