SISKIYOU PSYCHOLOGY LLC
NPI 1104766765
Clinical Neuropsychologist in Medford, OR

Active since March 31, 2026
204 W 9TH ST, MEDFORD, OR 97501(888) 556-7282(458) 203-5051 Get Directions Write a Review

NPPES record last updated: March 31, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Siskiyou Psychology Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SISKIYOU PSYCHOLOGY LLC (NPI 1104766765) is a healthcare organization registered as a clinical neuropsychologist in Medford, Oregon and active in the NPI registry since March 2026. The organization lists Jennifer Mathews, Owner, as its authorized official.

NPPES Registry Identity

NPI1104766765
Entity TypeOrganization
Primary Taxonomy103G00000X
Legal Business NameSISKIYOU PSYCHOLOGY LLC
Location Address204 W 9TH STMedford, OR 97501-3135
Mailing AddressPo Box 1787Medford, OR 97501-0261 · (888) 556-7282 · Fax (458) 203-5051
Fax(458) 203-5051
Organization SubpartNo
Authorized OfficialJennifer MathewsOwner · (314) 757-4969
Enumeration DateMarch 31, 2026
NPPES CertifiedMarch 31, 2026
NPI 1104766765 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers
Taxonomy Code103G00000X
Definition
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
204 W 9TH ST, Medford, OR 97501

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Massage Therapist
204 W 9TH ST
MEDFORD, OR 97501
Psychologist
204 W 9TH ST
MEDFORD, OR 97501
Social Worker (Clinical)
204 W 9TH ST
MEDFORD, OR 97501
Social Worker (Clinical)
204 W 9TH ST
MEDFORD, OR 97501

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Siskiyou Psychology LLC's NPI number?

The NPI number for Siskiyou Psychology LLC is 1104766765. It was assigned to this organization in the NPPES registry on March 31, 2026.

Where is Siskiyou Psychology LLC located?

Siskiyou Psychology LLC is located at 204 W 9th St, Medford, OR 97501. The listed phone number is (888) 556-7282.

What is Siskiyou Psychology LLC's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

When was this NPI record last updated?

The NPPES record for Siskiyou Psychology LLC was last updated on March 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.