MARY MATESE (NPI# 1295061182) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295061182 |
| Entity Type | Individual |
| Full Name | MARY MATESE |
| Credential | LPA |
| Practice Address |
66 Club Rd Ste 120 Eugene OR 97401 |
| Mailing Address |
66 Club Rd Ste 120 Eugene OR 97401-2439 |
| Practice Telephone | 5413935983 |
| Practice Fax Number | 5413935984 |
| Mailing Telephone | 5413935983 |
| Mailing Fax Number | 5413935984 |
| Enumeration Date | 2009-10-27 |
| Last Update Date | 2019-02-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
5065 | OR | Behavioral Health & Social Service Providers |
| N | 103TM1800X |
Psychologist Specialization: Mental Retardation & Developmental Disabilities |
5065 | OR | Behavioral Health & Social Service Providers |
| N | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 500719639 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3995 Marcola Rd, Springfield, OR 974777948 | 5417261465 |
| Street Address |
66 CLUB RD STE 120 |
| City | EUGENE |
| State | OR |
| Zip Code | 97401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497803027 | Randolph Lee Hart | Counselor | 66 Club Rd Ste 120, Eugene, OR 97401-2439 | 2007-01-08 |
| 1821573791 | Austin Millet | Psychologist | 66 Club Rd Ste 120, Eugene, OR 97401-2439 | 2018-09-26 |
| 1134645302 | Shannon Rachel Mcgrath | Counselor | 66 Club Rd Ste 120, Eugene, OR 97401-2439 | 2017-08-18 |
| 1750811402 | Katherine Aoife Einri | Social Worker | 66 Club Rd Ste 120, Eugene, OR 97401-2439 | 2017-06-15 |
| 1730632449 | Joy Turner | Counselor | 66 Club Rd Ste 120, Eugene, OR 97401-2439 | 2016-07-28 |
| 1104298579 | Mary Sichi | Psychologist | 66 Club Rd Ste 120, Eugene, OR 97401-2439 | 2015-10-26 |
| 1891177143 | Robin M. Hertz | Counselor | 66 Club Rd Ste 120, Eugene, OR 97401-2439 | 2015-06-23 |
| 1497148647 | Erika Hinds | Psychologist | 66 Club Rd Ste 120, Eugene, OR 97401-2439 | 2015-03-12 |
| 1629476734 | Jessica Brianna Rosenfeld | Counselor | 66 Club Rd Ste 120, Eugene, OR 97401-2439 | 2014-12-05 |
| 1043619067 | Brian Parks | Psychologist | 66 Club Rd Ste 120, Eugene, OR 97401-2439 | 2014-08-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427681709 | Sarah Voigt | Counselor | 2149 Centennial Plaza Suite #4, Eugene, OR 97401 | 2020-02-14 |
| 1801426242 | Therapeutic Associates, Inc. | Physical Therapist | 760 Charnelton St., Suite 760, Eugene, OR 97401 | 2020-01-24 |
| 1225676232 | Aaron James Barber | Massage Therapist | 1375 Pearl St, Eugene, Or 97401, Eugene, OR 97401 | 2019-12-20 |
| 1851957047 | Altru Home Care LLC | Nursing Care | 1345 Olive St., Eugene, OR 97401 | 2019-05-14 |
| 1881155208 | Herron Jordanna Spence | Speech-Language Pathologist | 385 West 2nd Ave., Eugene, OR 97401 | 2019-03-28 |
| 1750855094 | Brandon Marshall | Counselor | 1158 High St Ste 202, Eugene, OR 97401 | 2019-01-21 |
| 1881172591 | Kayla Nicole O'brien | Nurse Practitioner | Country Club In Eugene, 520 Country Club Road, Eugene, OR 97401 | 2018-08-03 |
| 1962992180 | Shannon Jensen Smyth | Counselor | Va Eugene Downtown Clinic, 211 E. 7th Ave, Eugene, OR 97401 | 2018-05-14 |
| 1902305956 | Christine Noel Gray | Peer Specialist | 499 W. 4th Ave, Eugene, OR 97401 | 2018-02-06 |
| 1821507344 | Anjuli Chitkara | Psychologist | 1679 Willamette Street, Eugene, OR 97401 | 2017-09-27 |
| Find all providers in zip 97401 | ||||
| Taxonomy Code | 103TB0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Cognitive & Behavioral |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285904094 | Susan J Mcpherson Phd PC | Psychologist | 975 Willagillespie Rd Ste 202, Eugene, OR 97401-2104 | 2012-01-10 |
| 1093723405 | Lannen Edward Mcdonald | Psychologist | 975 Willagillespie Rd, #202, Eugene, OR 97401 | 2006-08-03 |
| 1376015610 | Eugene Center for Anxiety and Stress, LLC | Psychologist | 101 E Broadway Ste 400, Eugene, OR 97401-3104 | 2018-12-27 |
| 1841743432 | Michelle Meyer | Psychologist | 1790 W 11th Ave Ste 200, Eugene, OR 97402-3871 | 2016-07-29 |
| 1447372537 | Patricia Marie White | Psychologist | 66 Club Rd Ste 160, Eugene, OR 97401-2439 | 2007-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457771354 | Ana Snegireff | Psychologist | 4722 Oak Park Dr Ne, Salem, OR 97305-2928 | 2014-04-18 |
| 1740616325 | Kathleen Gregorich Hoffman | Psychologist | 3245 Nw Thurman St, Portland, OR 97210-1224 | 2013-09-16 |
| 1558708461 | Anthony Michael Duncan | Psychologist | 2236 Se Belmont St, Portland, OR 97214-2817 | 2013-05-31 |
| 1811253461 | Britania Latronica | Psychologist | 10117 Se Sunnyside Rd # F1217, Clackamas, OR 97015-7708 | 2012-04-09 |
| 1174813539 | Robert W Mclellarn, Phd | Psychologist | 5440 Sw Westgate Drive, Suite 175, Portland, OR 97221 | 2011-04-19 |
| 1346574449 | Jerusha Beth Detweiler-bedell | Psychologist | 5440 Sw Westgate Dr., #175, Portland, OR 97221-2436 | 2009-09-23 |
| 1386845048 | Morris Tiktin | Psychologist | 1201 Sw 12 Ave, Suite 300, Portland, OR 97205-2046 | 2007-05-30 |
| 1235341629 | Muriel D. Lezak | Psychologist | 2211 Sw 1st Ave, G10, Portland, OR 97201-5060 | 2007-05-05 |
| 1952528952 | Melisa L. Finch | Psychologist | 10201 Se Main St Ste 10, Portland, OR 97216-2937 | 2007-04-19 |
| 1942326038 | Jerome Yoman | Psychologist | 3815 Sw Hall Blvd, Beaverton, OR 97005-2049 | 2007-03-21 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.