Active NPI
Barbara Anna Hermann, PH.D.
- Psychologist
- Eugene, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 3221
- Practice address
- 66 Club Rd Ste 120
Eugene, OR 97401-2439 - Phone
- (541) 393-5983
- Fax
- (541) 393-5984
- NPI assigned
- Mar 24, 2010
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 1327 | NH | |
| Psychologist | 103T00000X | 3221 | OR | Primary |
| Clinical Psychologist | 103TC0700X | 048.0058106 | VT |
Addresses
Primary practice location
66 Club Rd Ste 120
Eugene, OR 97401-2439
Mailing address
66 Club Rd
Ste 120
Eugene, OR 97401-2439
Phone (541) 393-5983
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
7455 SW Beveland Rd
Tigard, OR 97223-8610
Phone (503) 624-2600
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1327 | NH | MD | Clinical Psychologist |
| 048.0058106 | VT | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Western Psychological and Counseling Services LLC | Clinical | Current | Accepting new patients |
| Keeptrue Health LLC | Psychologist | Current | Accepting new patients |
| Western Psychological and Counseling Services LLC | Clinical | Current | Accepting new patients |
Locations
66 Club Rd
Ste 360
Eugene, OR 97401
Phone (541) 240-2100
44 Club Rd
Ste 200
Eugene, OR 97401
Phone (254) 393-5983
66 Club Rd
Ste 120
Eugene, OR 97401
Phone (541) 345-2800
880 82nd Dr
Gladstone, OR 97027
Phone (503) 626-9494
7455 SW Beveland Rd
Tigard, OR 97223
Phone (503) 624-2600
Interoperability endpoints
- lifestancehealth.barbarahermann@151848.advancedmd-direct.com
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 and National Provider Directory roles.
-
- Clinical Psychologist
- Tacoma, WA
- NPI 1912008178
OR
-
- Psychologist
- Eugene, OR
- NPI 1104526037
-
- Clinical Psychologist
- Vancouver, WA
- NPI 1629345731
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1269388800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632787200000",
"number": "1962726679",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "66 CLUB RD",
"address_2": "STE 120",
"city": "EUGENE",
"state": "OR",
"postal_code": "974012439",
"telephone_number": "541-393-5983",
"fax_number": "541-393-5984"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "66 CLUB RD STE 120",
"city": "EUGENE",
"state": "OR",
"postal_code": "974012439",
"telephone_number": "541-393-5983",
"fax_number": "541-393-5984"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERMANN",
"first_name": "BARBARA",
"middle_name": "ANNA",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-03-24",
"last_updated": "2021-09-28",
"certification_date": "2021-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NH",
"license": "1327",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist",
"state": "OR",
"license": "3221",
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "VT",
"license": "048.0058106",
"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 Sep 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.