Southern Oregon Neuropsychological Clinic LLC
NPI 1588726939 · Clinical Neuropsychologist · Medford, OR
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Southern Oregon Neuropsychological Clinic LLC is a Clinical Neuropsychologist organization in Medford, OR (NPI 1588726939).
Provider details
- NPI number
- 1588726939
- Entity type
- Organization
- Primary specialty
- Clinical NeuropsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Michael Villanueva, Owner(541) 608-3878
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Clinical Psychologist103TC0700X
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
19 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
- 2006-12-14
- Last updated
- 2018-07-16
Frequently asked questions
- What is Southern Oregon Neuropsychological Clinic LLC's NPI number?
- Southern Oregon Neuropsychological Clinic LLC's National Provider Identifier (NPI) is 1588726939, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southern Oregon Neuropsychological Clinic LLC?
- Southern Oregon Neuropsychological Clinic LLC is classified in the NPPES registry as Clinical Neuropsychologist (Behavioral Health & Social Service Providers).
- Where is Southern Oregon Neuropsychological Clinic LLC located?
- Southern Oregon Neuropsychological Clinic LLC's practice location on file with NPPES is 837 Alder Creek Dr, Medford, OR 97504.
- What is Southern Oregon Neuropsychological Clinic LLC's phone number?
- The practice phone number listed in the NPPES registry for Southern Oregon Neuropsychological Clinic LLC is (541) 608-3878.
- Does Southern Oregon Neuropsychological Clinic LLC accept Medicare?
- Southern Oregon Neuropsychological Clinic 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 Neuropsychological Clinic LLC?
- The authorized official listed on Southern Oregon Neuropsychological Clinic LLC's NPPES record is Michael Villanueva, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southern Oregon Neuropsychological Clinic LLC's NPI active?
- Yes — Southern Oregon Neuropsychological Clinic LLC's NPI (1588726939) is active in the NPPES registry as of the last update on 2018-07-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.