Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Scott S Pengelly, PHD

Individual provider Clinical Psychologist · NPI 1407978943

Scott S Pengelly, PHD is a Clinical Psychologist in Eugene, Oregon. Qualified in 1974, 52 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
52
Licensed in
OR
In the registry since
2007
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

2993 Chandler Ave
Eugene, OR 97403-3241
Phone: (541) 913-1930
Fax: (541) 284-5944
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 798 (OR)

Record details

NPI number1407978943
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorYes
NPI enumeratedApril 4, 2007
Last updated in NPPESAugust 23, 2023
Certification dateAugust 23, 2023
Mailing address2993 Chandler Ave, Eugene, OR 97403-3241

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1974 (52 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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