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Dr. Stephen Pethick , PhD

Psychologist - Clinical β€’ Eugene, OR

Active NPI 1356404172 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

401 E 10th Ave, Suite 530
Eugene, OR 974013367

Call 5416877787 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

401 E 10th Ave
Suite 530

Eugene, OR 974013367

Telephone 5416877787
Fax 8556467433
Organization at the Same NPPES Address or Phone
Hearing Associates, Inc. Facility NPI 1336223791

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2002

Years since graduation

24 years (graduated 2002)

CMS Doctors and Clinicians data list 2002 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2006

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Pethick has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Pethick as eligible to order or refer Medicare Part B clinical laboratory and imaging services and durable medical equipment (DME) for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Eugene and Oregon

85 active clinicians are listed under Psychologist - Clinical with a practice address in Eugene, OR (1,144 in Oregon).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Eugene

4.7% of these 85 clinicians have the CMS telehealth indicator.

21.2% of these 85 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-03-05
Psychologist - Clinical Primary Specialty

NUCC Taxonomy Code: 103TC0700X

License # reported to NPPES OR 1569

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Oregon Medical Board.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Other Identifier Omap
298598 (OR)

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - CLINICAL PSYCHOLOGIST

Medicare Enrollment ID

I20040617000230

Enrollment State Jurisdiction

OR

PECOS Control ID

4880678747

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Not Eligible
Power Mobility Devices (PMD) Not Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

4 listed
Cara Chapman , ARNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1922101807

Advanced Registered Nurse Practitioner

NPI 1225115843

Doctor of Optometry

NPI 1760094536
Dr. Sandi Ybarra , AuD

Audiologist-Hearing Aid Fitter

NPI 1255415659

Doctor of Audiology

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
πŸ“
Updated Practice Location March 29, 2021

Registered at 401 E 10TH AVE, SUITE 530, EUGENE, OR 974013367 (Tel: 5416877787)

βœ…
NPI Profile Active June 24, 2014

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) June 24, 2014

Registered at 132 E BROADWAY, SUITE 733, EUGENE, OR 974013143 (Tel: 5416877787)

πŸ“
Business Mailing Address (Initial Record) June 24, 2014

Registered at PO BOX 3163, EUGENE, OR 974030163 (Tel: 5416877787)

πŸ‘€
Provider Name / Credentials (Initial Record) June 24, 2014

Recorded as STEPHEN PETHICK, PHD

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 24, 2014

Psychologist (license number reported to NPPES: OR 1569)

🟒
Initial NPI Registration & Enumeration December 19, 2006

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1356404172
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 19, 2006
Last Update: March 05, 2026
Sole Proprietor: Yes

Other Psychologist - Clinicals in Eugene

All Psychologist - Clinicals in Eugene

Mailing Address

Po Box 3163

Eugene, OR 974030163

Phone: 5416877787

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.