Emily Deanne Walden, MA, (PHD IN 06/2021)

Primary specialty

PsychologistTaxonomy code 103T00000X

Practice address

1551 Pearl St
Eugene, OR 97401-4010

Phone

(541) 517-9733

NPI assigned

Jun 9, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

Practice roles

Locations

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.

• Vista Counseling & Consultation, Inc.

  • Community/Behavioral Health Agency
  • Eugene, OR
  • NPI 1275864985
  Medicare reassignment NPD

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

{
    "created_epoch": "1623196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623196800000",
    "number": "1982271888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1551 PEARL ST",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974014010",
            "telephone_number": "541-517-9733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1551 PEARL ST",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974014010",
            "telephone_number": "541-517-9733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALDEN",
        "first_name": "EMILY",
        "middle_name": "DEANNE",
        "credential": "MA, (PHD IN 06/2021)",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-09",
        "last_updated": "2021-06-09",
        "certification_date": "2021-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Wahl
• Lacey J Wahle
• Sarah Wakeen
• Brian Wakefield, M.D.
• Wal-Mart Stores, Inc
• Julia Edith Waldron
• Camerron Waldrop, LMT
• Walgreen Co
• Walgreen Co
• Walgreen Co

• 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 Jun 9, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.