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Organization

Providence Health & Services - Oregon

NPI Record: ActivePsychiatry & Neurology — Child & Adolescent Psychiatry
NPI1316024128
Medford, Oregon

Provider's NPPES record last updated: November 19, 2025

Overview

Entity Type
Organization
NPI
1316024128
Primary Specialty
Psychiatry & Neurology — Child & Adolescent Psychiatry
Practice Location
Medford, Oregon
Organization Subpart
Yes
Parent Organization
Providence Health & Services - Oregon

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 18, 2026, 8:39 PM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Psychiatry & Neurology

    Child & Adolescent Psychiatry

    Allopathic & Osteopathic Physicians

    Primary

    Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

    Taxonomy code 2084P0804X
  • Clinic/Center

    Ambulatory Health Care Facilities

    A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

    Taxonomy code 261Q00000X
  • Clinic/Center

    Adolescent and Children Mental Health

    Ambulatory Health Care Facilities

    An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.

    Taxonomy code 261QM0855X

Practice Locations

Practice Location

840 Royal Ave

Suite 110

Medford, Oregon 97504-6461

Phone: (541) 732-8370

Other Names

  • Pmg South Medford PediatricsReported May 12, 2025
  • Pmg South Medford PediatricsReported November 1, 2006
  • Providence Medical Group SouthReported May 12, 2025

Record Information

Enumeration Date
November 1, 2006
Provider's NPPES Record Last Updated
November 19, 2025
Certification Date
November 19, 2025
NPISignal NPPES Dataset
August 2026

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