Sally J Grosscup, PHD, PC

Primary specialty

PsychologistTaxonomy code 103T00000X

License

658 Issued in OR

Legal business name

SALLY J GROSSCUP, PHD, PC

Practice address

1210 Pearl St
Eugene, OR 97401-3573

Phone

(541) 343-2663

Fax

(541) 343-2663

NPI assigned

Jul 25, 2017

Organization subpart

No

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

Authorized official

Name

Cassidy Helms

Title

Office Manager

Phone

(541) 343-2663

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1500940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1821511403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1210 PEARL ST",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974013573",
            "telephone_number": "541-343-2663",
            "fax_number": "541-343-2663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 PEARL ST",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974013573",
            "telephone_number": "541-343-2663",
            "fax_number": "541-343-2663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALLY J GROSSCUP, PHD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-25",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "HELMS",
        "authorized_official_first_name": "CASSIDY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "541-343-2663"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "OR",
            "license": "658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evelyn Salinas Castro
• Ian Jeffrey Salisbury, DMD
• Sarah M Salisbury, LMFT
• Bryan Joseph Sallee
• Shelby Sallee
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• Debra Christine Samano-Hopper, R.N.
• Holly Ann Samel

• Psychologist in Eugene, OR
• Providers in Eugene, OR by specialty
• Psychologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.