Pediatric Neurodevelopmental & Behavioral Clinic of Southern Oregon
NPI 1619791415 · Community/Behavioral Health Agency · Medford, OR
Pediatric Neurodevelopmental & Behavioral Clinic of Southern Oregon is a Community/Behavioral Health Agency organization in Medford, OR (NPI 1619791415).
Provider details
- NPI number
- 1619791415
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Parent organization
- Jennifer K Boudreaux, Cpnp, Pmhs, LLC
- Organization subpart
- Yes
- Authorized official
- Jennifer Boudreaux, Owner/Provider(541) 324-3648
Specialties & taxonomies
Agencies
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
- 2024-11-09
- Last updated
- 2024-11-09
- Certified
- 2024-11-08
Frequently asked questions
- What is Pediatric Neurodevelopmental & Behavioral Clinic of Southern Oregon's NPI number?
- Pediatric Neurodevelopmental & Behavioral Clinic of Southern Oregon's National Provider Identifier (NPI) is 1619791415, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pediatric Neurodevelopmental & Behavioral Clinic of Southern Oregon?
- Pediatric Neurodevelopmental & Behavioral Clinic of Southern Oregon is classified in the NPPES registry as Community/Behavioral Health Agency (Agencies).
- Where is Pediatric Neurodevelopmental & Behavioral Clinic of Southern Oregon located?
- Pediatric Neurodevelopmental & Behavioral Clinic of Southern Oregon's practice location on file with NPPES is 33 N Central Ave Ste 317, Medford, OR 97501-5939.
- What is Pediatric Neurodevelopmental & Behavioral Clinic of Southern Oregon's phone number?
- The practice phone number listed in the NPPES registry for Pediatric Neurodevelopmental & Behavioral Clinic of Southern Oregon is (541) 227-2808.
- Who is the authorized official for Pediatric Neurodevelopmental & Behavioral Clinic of Southern Oregon?
- The authorized official listed on Pediatric Neurodevelopmental & Behavioral Clinic of Southern Oregon's NPPES record is Jennifer Boudreaux, Owner/Provider. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pediatric Neurodevelopmental & Behavioral Clinic of Southern Oregon's NPI active?
- Yes — Pediatric Neurodevelopmental & Behavioral Clinic of Southern Oregon's NPI (1619791415) is active in the NPPES registry as of the last update on 2024-11-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.