SOUTHERN OREGON PSYCHOLOGICAL SERVICES LLC
NPI 1245946110
Psychologist in Grants Pass, OR

Active since January 25, 2023
305 NE E ST STE 200B, GRANTS PASS, OR 97526(541) 226-4396 Get Directions Write a Review

NPPES record last updated: May 23, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 3, 2023, Jan 25, 2023 (2 updates tracked since 2023).

About Southern Oregon Psychological Services Llc NPPES

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

SOUTHERN OREGON PSYCHOLOGICAL SERVICES LLC (NPI 1245946110) is a healthcare organization registered as a psychologist in Grants Pass, Oregon and active in the NPI registry since January 2023. The organization lists Matthew Ditty, Owner, as its authorized official.

NPPES Registry Identity

NPI1245946110
Entity TypeOrganization
Primary Taxonomy103T00000X
Legal Business NameSOUTHERN OREGON PSYCHOLOGICAL SERVICES LLC
Location Address305 NE E ST STE 200BGrants Pass, OR 97526-2163
Mailing Address305 Ne E St Ste 200bGrants Pass, OR 97526-2163
Organization SubpartNo
Authorized OfficialMatthew DittyOwner · (541) 226-4396
Enumeration DateJanuary 25, 2023
Last NPPES UpdateMay 23, 20242 updates tracked since enumeration
NPPES CertifiedMay 23, 2024
NPI 1245946110 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Definition
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.
305 NE E ST STE 200B, Grants Pass, OR 97526

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES

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

Psychologist
305 NE E ST STE 200B
GRANTS PASS, OR 97526

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 Southern Oregon Psychological Services LLC's NPI number?

The NPI number for Southern Oregon Psychological Services LLC is 1245946110. It was assigned to this organization in the NPPES registry on January 25, 2023.

Where is Southern Oregon Psychological Services LLC located?

Southern Oregon Psychological Services LLC is located at 305 NE E St Ste 200B, Grants Pass, OR 97526. The listed phone number is (541) 226-4396.

What is Southern Oregon Psychological Services LLC's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

What insurance does Southern Oregon Psychological Services LLC accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon list Southern Oregon Psychological Services LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Southern Oregon Psychological Services LLC was last updated on May 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.