B GRACE MARIE BULLOCK (NPI# 1356590442) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356590442 |
| Entity Type | Individual |
| Full Name | B GRACE MARIE BULLOCK |
| Other Name | BERNADETTE MARIE BULLOCK |
| Credential | PH.D. |
| Practice Address |
559 Fulvue Dr Eugene OR 97405-2794 |
| Mailing Address |
559 Fulvue Drive Eugene OR 97405-2794 |
| Practice Telephone | 5418522520 |
| Mailing Telephone | 5418522520 |
| Enumeration Date | 2008-09-12 |
| Last Update Date | 2012-10-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | Behavioral Health & Social Service Providers | ||
| N | 103TA0400X |
Psychologist Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| N | 103TA0700X |
Psychologist Specialization: Adult Development & Aging |
Behavioral Health & Social Service Providers | ||
| N | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
Behavioral Health & Social Service Providers | ||
| N | 103TE1100X |
Psychologist Specialization: Exercise & Sports |
Behavioral Health & Social Service Providers | ||
| N | 103TF0000X |
Psychologist Specialization: Family |
Behavioral Health & Social Service Providers | ||
| N | 103TP2701X |
Psychologist Specialization: Group Psychotherapy |
Behavioral Health & Social Service Providers | ||
| N | 103TH0004X |
Psychologist Specialization: Health |
Behavioral Health & Social Service Providers |
| Street Address |
559 FULVUE DR |
| City | EUGENE |
| State | OR |
| Zip Code | 97405-2794 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356985337 | Elizabeth Reed | Doula | 28192 Briggs Hill Rd, ., Eugene, OR 97405 | 2019-11-01 |
| 1235625450 | Kim Lynette Lesh | Counselor | 2434 Jacobs Lane, Eugene, OR 97405 | 2018-07-11 |
| 1841711884 | Mary Fiedler | Massage Therapist | 1924 Jackson Street, Eugene, OR 97405 | 2017-06-29 |
| 1235672478 | Icco LLC | Clinic/Center | 2710 Willamette Street, Eugene, OR 97405 | 2016-11-21 |
| 1033566633 | Andrea Armstrong | Counselor | 3575 Donald St Ste 130, Eugene, OR 97405 | 2016-05-24 |
| 1801265061 | Alani Stuart | Counselor | 3411-a Willamette Street, Eugene, OR 97405 | 2015-09-17 |
| 1992174155 | Lorena Cortes Cervantes | Counselor | 3411-a Willamette Street, Eugene, OR 97405 | 2015-09-17 |
| 1346626926 | Susan White | Speech-Language Pathologist | 3500 Hilyard St., Eugene, OR 97405 | 2015-08-05 |
| 1366826042 | Sherion Fulton | Counselor | 2852 Willamette #278, Eugene, OR 97405 | 2015-07-13 |
| 1336532860 | Heather Brooks Morse | Psychologist | 2228 West 25th Place, Eugene, OR 97405 | 2015-03-09 |
| Find all providers in zip 97405 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407453889 | Larissa Catherine Miller | Psychologist | 2920 Alder St, Eugene, OR 97405-4146 | 2020-10-08 |
| 1700448784 | Paula Mcwhirter | Psychologist | 294 Rockridge Loop, Eugene, OR 97405-4850 | 2019-07-01 |
| 1568934032 | David Francis Brule | Psychologist | 220 E 11th Ave Ste 3, Eugene, OR 97401-3370 | 2018-12-21 |
| 1821507344 | Anjuli Chitkara | Psychologist | 1679 Willamette Street, Eugene, OR 97401 | 2017-09-27 |
| 1053838581 | Breann Nicole Martin | Psychologist | 366 Greenfield Ave, Eugene, OR 97404 | 2017-08-25 |
| 1982849626 | Gretchen Scheidel | Psychologist | 3225 Willamette St # 3f, Eugene, OR 97405-3309 | 2008-12-09 |
| 1013102383 | Gascoyne & Taylor, Psychologist, P.C. | Psychologist | 1860 Willamette St, Eugene, OR 97401-4044 | 2007-09-10 |
| 1962616698 | G Timothy Scott | Psychologist | 2598 Cresta De Ruta St, Eugene, OR 97403-1848 | 2007-05-10 |
| 1336352194 | David V. Baldwin | Psychologist | 3003 Willamette, Eugene, OR 97405 | 2007-05-08 |
| 1801918875 | Peter Barton Schur | Psychologist | 3321 W 11th Ave, Eugene, OR 97402-3040 | 2007-04-03 |
| Find all providers in EUGENE | ||||
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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.