JENAE ULRICH (NPI# 1801174305) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801174305 |
| Entity Type | Individual |
| Full Name | JENAE ULRICH |
| Credential | M.A. |
| Practice Address |
1800 Centennial Blvd Springfield OR 97477-4385 |
| Mailing Address |
2280 Marcola Rd Springfield OR 97477-2594 |
| Practice Telephone | 5417474300 |
| Mailing Telephone | 5417474300 |
| Enumeration Date | 2011-08-01 |
| Last Update Date | 2019-06-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 2629 | OR | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 500697905 | 05 |
| Street Address |
1800 CENTENNIAL BLVD |
| City | SPRINGFIELD |
| State | OR |
| Zip Code | 97477-4385 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710969480 | Charles Duane Radebaugh | Optometrist | 1800 Centennial Blvd, Suite 2, Springfield, OR 97477-4385 | 2005-11-17 |
| 1932609245 | Nicole Kepner | Pharmacist | 1800 Centennial Blvd, Springfield, OR 97477 | 2018-02-14 |
| 1114396199 | Springfield Family Physicians | Family Medicine | 1800 Centennial Blvd, Springfield, OR 97477-4385 | 2015-09-18 |
| 1265847271 | Julie Kay Mott | Counselor | 1800 Centennial Blvd, Springfield, OR 97477 | 2014-06-27 |
| 1508190661 | Ppc Group LLC | Clinic/Center | 1800 Centennial Blvd, Suite #6, Springfield, OR 97477-4385 | 2009-09-22 |
| 1760434385 | Alison Joan Erde | Family Medicine | 1800 Centennial Blvd, 6, Springfield, OR 97477-4385 | 2006-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508416140 | Chase Michael Collings | Physician Assistant | 960 N 16th St Ste 303, Springfield, OR 97477 | 2019-09-16 |
| 1174079396 | Amie Flanagan | Occupational Therapy Assistant | 3152 Valentine Court, Springfield, OR 97477 | 2016-08-28 |
| 1609229590 | Kiernan Davis Snedigar | Counselor | 175 W B St Ste J, Springfield, OR 97477 | 2016-07-15 |
| 1578914206 | Ryan James Dixon | Counselor | 1923 Centennial Blvd, Springfield, OR 97477 | 2016-06-23 |
| 1902275464 | Jovonnie Bashaw | Counselor | 1157 5th St, Springfield, OR 97477 | 2015-09-15 |
| 1053759506 | Norco Inc | Durable Medical Equipment & Medical Supplies | 302 Shelley St Ste 7&8, Springfield, OR 97477 | 2013-06-06 |
| 1780931634 | Justin Morris | Pharmacist | 1891 Pioneer Parkway East, Springfield, OR 97477 | 2012-08-09 |
| 1194083105 | Mersedeh Bahr Hosseini | Psychiatry & Neurology | 3311 Riverbend Dr., Neurohospitalists, Springfield, OR 97477 | 2012-04-26 |
| 1962769679 | Hiro Kawata | Internal Medicine | 3311 Rierbend Dr., Springfield, OR 97477 | 2012-04-19 |
| 1659662823 | Wendy A Teigen | Counselor | 3995 Marcola Rd., Springfield, OR 97477 | 2011-04-22 |
| Find all providers in zip 97477 | ||||
| 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 |
|---|---|---|---|---|
| 1467074351 | Esther Palacios-barrios | Psychologist | 8110 Parkdale Ct, Springfield, VA 22153-3601 | 2020-05-13 |
| 1073163598 | Tracey Cummings | Psychologist | 709 Avenue A, Springfield, MI 49037-7706 | 2019-09-17 |
| 1194374587 | Aaron Matthew Begley | Psychologist | 2775 W Dickman Rd Ste P1, Springfield, MI 49037-4895 | 2019-09-09 |
| 1891209938 | Ewa Lavin | Psychologist | 675 Morris Ave Ste 202, Springfield, NJ 07081-1523 | 2017-11-28 |
| 1750825469 | Stephanie Kaplan | Psychologist | 300 Carew St Ste 2, Springfield, MA 01104-2146 | 2016-12-14 |
| 1578922365 | Molly Lenore Choate Summers | Psychologist | 7713 Harwood Pl, Springfield, VA 22152-2014 | 2016-02-22 |
| 1942669528 | Hiroko Arikawa | Psychologist | 2988 W Lasalle St, Springfield, MO 65807-8733 | 2016-02-11 |
| 1114382942 | Rosana Rivera-delgado | Psychologist | 4017 Liberty St, Springfield, MA 01104 | 2015-12-21 |
| 1861885774 | Hand In Hand Multicultural Center | Psychologist | 1436 W Hovey St, Springfield, MO 65802-1509 | 2015-03-17 |
| 1962742932 | Jed E Baker | Psychologist | 28 Millburn Ave, Suite 7, Springfield, NJ 07081 | 2013-02-27 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 97477 |
Please comment or provide details below to improve the information on JENAE ULRICH.
| 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.