Active NPI
B.Joann Scheck, PSY.D.
- Psychologist
- Eugene, OR
National Provider Identifier
1811903693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 1121
- Practice address
- 3003 Willamette St.
Suite F
Eugene, OR 97405-3295 - Phone
- (541) 484-1063
- NPI assigned
- Jul 31, 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 | 1121 | OR | Primary |
Addresses
Primary practice location
3003 Willamette St.
Suite F
Eugene, OR 97405-3295
Mailing address
3003 Willamette St.
Suite F
Eugene, OR 97405-3295
Phone (541) 484-1063
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| J326601 | Other | OR | PACIFIC SOURCE |
| 071824 | Medicaid | OR | |
| 117881 | Other | OR | MHN |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1121 | OR | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1811903693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3003 WILLAMETTE ST.",
"address_2": "SUITE F",
"city": "EUGENE",
"state": "OR",
"postal_code": "974053295",
"telephone_number": "541-484-1063"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3003 WILLAMETTE ST.",
"address_2": "SUITE F",
"city": "EUGENE",
"state": "OR",
"postal_code": "974053295",
"telephone_number": "541-484-1063"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHECK",
"first_name": "B.JOANN",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-31",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "OR",
"license": "1121",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PACIFIC SOURCE",
"identifier": "J326601",
"state": "OR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "071824",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MHN",
"identifier": "117881",
"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 Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.