Healthcare Provider Details

I. General information

NPI: 1508282393
Provider Name (Legal Business Name): STUART E. SILBERMAN, PSY.D., LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/17/2014
Last Update Date: 09/28/2022
Certification Date: 09/28/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

132 E BROADWAY SUITE 730
EUGENE OR
97401-3143
US

IV. Provider business mailing address

132 E BROADWAY SUITE 730
EUGENE OR
97401-3143
US

V. Phone/Fax

Practice location:
  • Phone: 541-632-4655
  • Fax: 541-214-2639
Mailing address:
  • Phone: 541-632-4655
  • Fax: 541-214-2639

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number2363
License Number StateOR
# 2
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number2363
License Number StateOR

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: DR. STUART EUGENE SILBERMAN
Title or Position: CLINICAL PSYCHOLOGIST
Credential: PSY.D.
Phone: 541-632-4655