Denovo Center, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

DENOVO CENTER, LLC

Practice address

895 Country Club Rd Ste A140
Eugene, OR 97401-6028

Phone

(541) 556-6552

Fax

(541) 230-9656

NPI assigned

Jun 3, 2021

Organization subpart

No

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

Authorized official

Name

Stephanie Waguespack

Title

Chief Operating Officer/Founder

Phone

(541) 556-5652

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1622678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647388800000",
    "number": "1952977480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1863 PIONEER PKWY E # 203",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "974773907",
            "telephone_number": "541-556-5652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "895 COUNTRY CLUB RD STE A140",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974016028",
            "telephone_number": "541-556-6552",
            "fax_number": "541-230-9656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENOVO CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-03",
        "last_updated": "2022-03-16",
        "certification_date": "2022-03-16",
        "status": "A",
        "authorized_official_last_name": "WAGUESPACK",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER/FOUNDER",
        "authorized_official_telephone_number": "541-556-5652"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in Eugene, OR
• Providers in Eugene, OR by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 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.