Active NPI
Emelyne M Woessner, PSY.D.
- Psychologist
- Corvallis, OR
National Provider Identifier
1760020796
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 2348
- Practice address
- 260 SW Madison Ave Ste 101
Corvallis, OR 97333-4725 - Phone
- (541) 378-3042
- NPI assigned
- Dec 20, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 2348 | OR | Primary |
Addresses
Primary practice location
260 SW Madison Ave Ste 101
Corvallis, OR 97333-4725
Mailing address
1334 NW 10TH St
Corvallis, OR 97330-4523
Phone (541) 243-3894
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Oct 6, 2025 through Oct 6, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2348 | OR | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1576800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576800000000",
"number": "1760020796",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1334 NW 10TH ST",
"city": "CORVALLIS",
"state": "OR",
"postal_code": "973304523",
"telephone_number": "541-243-3894"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "260 SW MADISON AVE STE 101",
"city": "CORVALLIS",
"state": "OR",
"postal_code": "973334725",
"telephone_number": "541-378-3042"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOESSNER",
"first_name": "EMELYNE",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-12-20",
"last_updated": "2019-12-20",
"certification_date": "2019-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "OR",
"license": "2348",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Corvallis, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2019; 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.