Southern Oregon Psychological Services LLC
NPI 1245946110 · Psychologist · Grants Pass, OR
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Southern Oregon Psychological Services LLC is a Psychologist organization in Grants Pass, OR (NPI 1245946110).
Provider details
- NPI number
- 1245946110
- Entity type
- Organization
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Matthew Ditty, Owner(541) 226-4396
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2023-01-25
- Last updated
- 2024-05-23
- Certified
- 2024-05-23
Frequently asked questions
- What is Southern Oregon Psychological Services LLC's NPI number?
- Southern Oregon Psychological Services LLC's National Provider Identifier (NPI) is 1245946110, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southern Oregon Psychological Services LLC?
- Southern Oregon Psychological Services LLC is classified in the NPPES registry as Psychologist (Behavioral Health & Social Service Providers).
- Where is Southern Oregon Psychological Services LLC located?
- Southern Oregon Psychological Services LLC's practice location on file with NPPES is 305 Ne E St Ste 200b, Grants Pass, OR 97526-2163.
- What is Southern Oregon Psychological Services LLC's phone number?
- The practice phone number listed in the NPPES registry for Southern Oregon Psychological Services LLC is (541) 226-4396.
- Does Southern Oregon Psychological Services LLC accept Medicare?
- Southern Oregon Psychological Services LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Southern Oregon Psychological Services LLC?
- The authorized official listed on Southern Oregon Psychological Services LLC's NPPES record is Matthew Ditty, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southern Oregon Psychological Services LLC's NPI active?
- Yes — Southern Oregon Psychological Services LLC's NPI (1245946110) is active in the NPPES registry as of the last update on 2024-05-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.