Active NPI
Rebecca Susanne Hart, PH.D.
- Psychologist
- Eugene, OR
National Provider Identifier
1750411997
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 2201
- Practice address
- 1165 Pearl St Ste 105
Eugene, OR 97401-5652 - Phone
- (541) 357-9412
- NPI assigned
- Mar 6, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 2201 | OR | Primary |
| Counseling Psychologist | 103TC1900X | 2201 | OR | |
| Psychologist | 103T00000X | PSY19864 | CA |
Addresses
Primary practice location
1165 Pearl St Ste 105
Eugene, OR 97401-5652
Mailing address
PO Box 40156
Eugene, OR 97404-0023
Phone (541) 357-9412
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Nov 12, 2024 through Nov 12, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY19864 | CA | MD | Psychologist |
| 2201 | OR | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764547200000",
"number": "1750411997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 40156",
"city": "EUGENE",
"state": "OR",
"postal_code": "974040023",
"telephone_number": "541-357-9412"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1165 PEARL ST STE 105",
"city": "EUGENE",
"state": "OR",
"postal_code": "974015652",
"telephone_number": "541-357-9412"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HART",
"first_name": "REBECCA",
"middle_name": "SUSANNE",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-06",
"last_updated": "2025-12-01",
"certification_date": "2025-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "OR",
"license": "2201",
"primary": true
},
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "OR",
"license": "2201",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY19864",
"primary": false
}
],
"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 Dec 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.