Individual provider Active NPI

Anjali Dhar, PSYD

  • Clinical Psychologist
  • Eugene, OR
National Provider Identifier
1770190787
Registry record updated Jan 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
3252 Issued in OR
Practice address
492 E 13TH Ave
Eugene, OR 97401-4268
Phone
(541) 229-2625
NPI assigned
Sep 24, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 3252 OR Primary

Addresses

Primary practice location

492 E 13TH Ave
Eugene, OR 97401-4268

Mailing address

1664 Kings North St
Eugene, OR 97401-8508
Phone (541) 229-2625

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
3252ORMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Anjali Dhar, PSYD, LLC CurrentSince Nov 1, 2020 Accepting new patients

Locations

1127 Lincoln St
Eugene, OR 97401
Phone (541) 953-4612

492 E 13th Ave
Eugene, OR 97401
Phone (541) 229-2625

1193 Pearl St
Eugene, OR 97401
Phone (541) 321-0673

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": "1600905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706572800000",
    "number": "1770190787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1664 KINGS NORTH ST",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974018508",
            "telephone_number": "541-229-2625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "492 E 13TH AVE",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974014268",
            "telephone_number": "541-229-2625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DHAR",
        "first_name": "ANJALI",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-24",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OR",
            "license": "3252",
            "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 30, 2024; 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.