Rebecca Breiholz, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

2080 Issued in OR

Practice address

208 Oak St Ste 104
Ashland, OR 97520-1870

Phone

(541) 890-5606

Fax

(547) 482-2136

NPI assigned

Dec 13, 2010

Sex

Female

Sole proprietor

Yes

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

Specialty

Clinical Psychologist

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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.

• Rebecca Breiholz PHD LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Ashland, OR
  • NPI 1174291215
  Medicare reassignment NPD Authorized official
• Integrated Health Services, Inc

  • Clinical Social Worker
  • Medford, OR
  • NPI 1396068037
  NPD (past)

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

{
    "created_epoch": "1292198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292198400000",
    "number": "1992008064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 HIGH ST",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975202652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 OAK ST STE 104",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975201870",
            "telephone_number": "541-890-5606",
            "fax_number": "547-482-2136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREIHOLZ",
        "first_name": "REBECCA",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-12-13",
        "last_updated": "2010-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OR",
            "license": "2080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenna Boyle, LPC
• Donna M Bradshaw, MD
• Rosalyn E Bralley, LMT
• Tara Brasch, PT, DPT
• Sarah Belle Breckenridge, LCSW
• Valeria Jo Breiten, ND, RD, CCH
• Brian Kitchell
• Susan Weiss Brook, MA, LMFT, LPC
• Bryce Downey Brooks, LCSW
• Chad Michael Brown, PA-C

• Clinical Psychologist in Ashland, OR
• Providers in Ashland, OR by specialty
• Clinical Psychologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2010; 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.

Verify at the official NPI Registry.