Individual provider Active NPI

Gina Sprague-Connors, M.S., M.A., PSY.D.

  • Clinical Psychologist
  • Eugene, OR
National Provider Identifier
1992247795
Registry record updated Oct 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
000000000000000 Issued in CA
Practice address
Eugene VA Downtown Clinic 211 E. 7TH Avenue
Unit 118
Eugene, OR 97401
Phone
(541) 440-1000
NPI assigned
Nov 9, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 000000000000000 CA Primary

Addresses

Primary practice location

Eugene VA Downtown Clinic 211 E. 7TH Avenue
Unit 118
Eugene, OR 97401

Mailing address

2849 Harlow Rd
Eugene, OR 97401-6603

Other practice location 1

11633 San Vicente Blvd Ste 106
Los Angeles, CA 90049-6512
Phone (310) 207-1720

Other identifiers 1

IdentifierTypeStateIssuer
00000000000000000000OtherCAVHA

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL www.va.gov Direct

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)
Not enrolled
Credentials
Master of Arts, Master of Science

State licenses

LicenseStateTypeSpecialty
000000000000000CAMDHospice and Palliative Medicine (Internal Medicine) Physician

NPI Registry JSON

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

{
    "created_epoch": "1478649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570406400000",
    "number": "1992247795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2849 HARLOW RD",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974016603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "EUGENE VA DOWNTOWN CLINIC 211 E. 7TH AVENUE",
            "address_2": "UNIT 118",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "97401",
            "telephone_number": "541-440-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11633 San Vicente Blvd Ste 106",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900496512",
            "country_code": "US",
            "telephone_number": "310-207-1720",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPRAGUE-CONNORS",
        "first_name": "GINA",
        "name_prefix": "Dr.",
        "credential": "M.S., M.A., PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-09",
        "last_updated": "2019-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "000000000000000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VHA",
            "identifier": "00000000000000000000",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.va.gov",
            "affiliation": "N",
            "endpointDescription": "Roseburg VA HCS",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "N/A",
            "address_1": "Eugene VA Downtown Clinic 211 E. 7th Avenue",
            "address_2": "Unit 118",
            "city": "Eugene",
            "state": "OR",
            "country_code": "US",
            "postal_code": "97401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Oct 7, 2019; 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.