Individual provider Active NPI

Janice Howard, PHD

  • Clinical Child & Adolescent Psychologist
  • Eugene, OR
National Provider Identifier
1861946188
Registry record updated Nov 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X
License
2374 Issued in OR
Practice address
1200 Hilyard St Ste 420
Eugene, OR 97401-8161
Phone
(458) 205-6444
Fax
(458) 205-6440
NPI assigned
Aug 4, 2016
Last updated
Nov 14, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 2374 OR
Clinical Child & Adolescent Psychologist 103TC2200X 2374 OR Primary

Addresses

Primary practice location

1200 Hilyard St Ste 420
Eugene, OR 97401-8161

Mailing address

1525 Echo Hollow Rd
Suite a
Eugene, OR 97402-5801
Phone (541) 607-1430

Other practice location 1

1525 Echo Hollow Rd
Suite A
Eugene, OR 97402-5801
Phone (541) 607-1430

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170922001053 OR Practitioner - Clinical Psychologist 2567736093 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Peacehealth Medical Group Psychologist CurrentSince Jan 1, 2024 Accepting new patients
Peacehealth Medical Group CurrentSince Jan 1, 2024 Accepting new patients
Bethel Health Center Past Accepting new patients

Locations

1200 Hilyard St
Ste 420
Eugene, OR 97401
Phone (458) 205-6444

4010 Aerial Way
Eugene, OR 97402
Phone (541) 242-8300

Interoperability endpoints

  • Direct secure messaging: jhoward573101@direct.peacehealth.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1470268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699920000000",
    "number": "1861946188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 ECHO HOLLOW RD",
            "address_2": "SUITE A",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974025801",
            "telephone_number": "541-607-1430",
            "fax_number": "541-607-1429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 HILYARD ST STE 420",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974018161",
            "telephone_number": "458-205-6444",
            "fax_number": "458-205-6440"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1525 Echo Hollow Rd",
            "address_2": "Suite A",
            "address_purpose": "LOCATION",
            "city": "Eugene",
            "state": "OR",
            "postal_code": "974025801",
            "country_code": "US",
            "telephone_number": "541-607-1430",
            "fax_number": "541-607-1429",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOWARD",
        "first_name": "JANICE",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-04",
        "last_updated": "2023-11-14",
        "certification_date": "2023-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OR",
            "license": "2374",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "OR",
            "license": "2374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

Verify at the official NPI Registry.