Active NPI
Amy Beth Athey, PSY.D.
- Clinical Psychologist
- Eugene, OR
National Provider Identifier
1891977815
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 2021
- Practice address
- 3250 Queens East St
Eugene, OR 97401-8516 - Phone
- (410) 804-5900
- NPI assigned
- Nov 30, 2007
- Last updated
- Apr 12, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 2021 | OR | Primary |
| Exercise & Sports Psychologist | 103TE1100X | 2021 | OR |
Addresses
Primary practice location
3250 Queens East St
Eugene, OR 97401-8516
Mailing address
3250 Queens East St
Eugene, OR 97401-8516
Phone (410) 804-5900
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 |
|---|---|---|---|
| 2021 | OR | MD | Naturopath |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1334188800000",
"number": "1891977815",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3250 QUEENS EAST ST",
"city": "EUGENE",
"state": "OR",
"postal_code": "974018516",
"telephone_number": "410-804-5900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3250 QUEENS EAST ST",
"city": "EUGENE",
"state": "OR",
"postal_code": "974018516",
"telephone_number": "410-804-5900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ATHEY",
"first_name": "AMY",
"middle_name": "BETH",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-11-30",
"last_updated": "2012-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "OR",
"license": "2021",
"primary": true
},
{
"code": "103TE1100X",
"taxonomy_group": "",
"desc": "Psychologist, Exercise & Sports",
"state": "OR",
"license": "2021",
"primary": false
}
],
"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 Apr 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.