NORTHWEST NEUROHEALTH LLC (NPI# 1649640335) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649640335 |
| Entity Type | Organization |
| Organization Name | NORTHWEST NEUROHEALTH LLC |
| Practice Address |
501 N. Villa Road Newberg OR 97140 |
| Mailing Address |
515 Villa Rd Newberg OR 97132-1832 |
| Practice Telephone | 5038197969 |
| Practice Fax Number | 5035366562 |
| Mailing Telephone | 5038197969 |
| Enumeration Date | 2015-10-07 |
| Last Update Date | 2015-10-07 |
| Authorized Official Name | DR. ROBERT JAMES WENIGER (MEMBER) |
| Authorized Official Telephone | 5038197969 |
| Authorized Official Credential | PSY. D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | 2035 | OR | Behavioral Health & Social Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | NORTHWEST NEUROHEALTH LLC | 501 N Villa Rd, Newberg, OR 97132 |
| Street Address |
501 N. VILLA ROAD |
| City | NEWBERG |
| State | OR |
| Zip Code | 97140 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457902744 | Barbara Jo Morgan | Technician | 17752 Sw Inkster Dr., Sherwood, OR 97140 | 2019-09-27 |
| 1588193031 | Brett Matthew Hulbert | Student in an Organized Health Care Education/Training Program | 17193 Sw Terrapin Dr. #106, Sherwood, OR 97140 | 2017-06-08 |
| 1083157416 | Lisa Pauline Knudsen | Counselor | 20512 Sw Roy Rogers Rd, Suite 150, Sherwood, OR 97140 | 2016-12-03 |
| 1982056479 | Mari Heslinga | Dentist | 21332 Sw Langer Farms Pkwy Ste 126, Sherwood, OR 97140 | 2016-07-07 |
| 1649634668 | Sheila Johnson | Specialist | 15885 Sw Springtooth Ln, Sherwood, OR 97140 | 2016-04-06 |
| 1366841785 | Tae Yoon | Pharmacist | 21320 Sw Langer Farms Parkway, Sherwood, OR 97140 | 2014-08-21 |
| 1396155701 | Wal-mart Stores, Inc | Technician/Technologist | 21320 Sw Langer Farm, Sherwood, OR 97140 | 2014-05-07 |
| 1588916662 | Stacey Lynn Ritala | Dental Hygienist | 15962 Sw Tualatin-sherwood Rd., Sherwood, OR 97140 | 2012-10-12 |
| 1518219310 | Peggy Ann Lewelling | Dental Hygienist | 15962 Sw Tualatin-sherwood Rd, Sherwood, OR 97140 | 2012-10-04 |
| 1427307396 | Jenna Maren Vernon | Physical Therapist | 16770 Sw Edy Rd Ste 310, Sherwood, OR 97140 | 2012-09-06 |
| Find all providers in zip 97140 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093278111 | Viva Wheaton Psyd LLC | Clinical Neuropsychologist | 603 E. Hancock St, Newberg, OR 97132 | 2019-04-08 |
| 1528532884 | Viva Wheaton | Clinical Neuropsychologist | 603 E. Hancock St., Newberg, OR 97132-3806 | 2019-01-18 |
| 1992826481 | Wayne V Adams | Clinical Neuropsychologist | 414 N. Meridian Street, Newberg, OR 97132 | 2007-04-02 |
| 1417024787 | Glena Lynne Andrews | Clinical Neuropsychologist | 414 N Meridian St # V104, Newberg, OR 97132-2697 | 2006-11-29 |
| 1699875070 | Robert James Weniger | Clinical Neuropsychologist | 515 Villa Rd, Newberg, OR 97132-1832 | 2006-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710334099 | Robyn Ashley Migliorini | Clinical Neuropsychologist | 497 Sw Century Dr Ste 104, Bend, OR 97702-1167 | 2016-05-17 |
| 1609265123 | Albany General Hospital | Clinical Neuropsychologist | 534 Pleasant View Way Nw, Suite 200, Albany, OR 97321-1700 | 2015-01-21 |
| 1902208846 | 360 Pediatric Psychology, PC | Clinical Neuropsychologist | 201 B Ave., Suite #285, Lake Oswego, OR 97034 | 2014-09-23 |
| 1497010706 | Leah B. Schock Phd, LLC | Clinical Neuropsychologist | 975 Sw Colorado Ave Ste 100, Bend, OR 97702-3155 | 2012-07-12 |
| 1639472319 | Opal Institute LLC | Clinical Neuropsychologist | 14780 Sw Osprey Dr. #285, Beaverton, OR 97007 | 2010-12-17 |
| 1275790461 | Audrina Alexis Mullane | Clinical Neuropsychologist | 534 Pleasant View Way Nw Ste 200, Albany, OR 97321-1789 | 2008-05-16 |
| 1801098090 | Nancy Loss | Clinical Neuropsychologist | 2223 Ne 47th Avenue, Portland, OR 97213 | 2007-06-01 |
| 1205046422 | Laura Renteria | Clinical Neuropsychologist | 14631 Sw Millikan Way, Beaverton, OR 97003-2999 | 2007-05-23 |
| 1386857506 | David Matthew Freed | Clinical Neuropsychologist | 1180 Cross St Se, Salem, OR 97302-2924 | 2007-05-07 |
| 1851503494 | Barbara Udell Hammer | Clinical Neuropsychologist | 7474 Sw Ashford St, Tigard, OR 97224-7142 | 2007-05-04 |
| 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.