Robert Didericksen
PMHNP-BC | Nurse Practitioner - Psych/Mental Health | 7+ years Exp
1501 Pearl St, Eugene
Oregon, 97401-4010
541-342-8437
Robert Didericksen is a Eugene, Oregon based nurse practitioner with 7 years of experience in Psych/Mental Health. He completed his graduation in 2019. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Robert Didericksen is 0995173 for Psych/Mental Health in Colorado. His current practice location is 1501 Pearl St, Eugene. Patients can reach him at 541-342-8437. Robert Didericksen is PMHNP-BC with specialization in Psych/Mental Health and his NPI number (Unique professional ID assigned by NPPES) is 1407231244.
Robert Didericksen provides a full range of primary mental health care services, including biopsychosocial assessment and diagnosis of patients with mental illness and co-occurring disorders. Treatment modalities include both medication and psychotherapeutic management. Psych/Mental Health Nurse Practitioner (PMHNP) works in a variety of settings, including inpatient, emergency and community-based mental health services.
Complete Profile:
Robert Didericksen speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Robert Didericksen |
| Specialization: | Psych/Mental Health Nurse Practitioner (PMHNP) |
| Gender: | Male |
| Credentials: | PMHNP-BC |
| Experience: | 7+ years |
| Medical School Attended: | Other |
| Graduation Year: | 2019 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 1501 Pearl St, Eugene,
Oregon, 97401-4010 |
| Phone: | 541-342-8437 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 0143656710 |
| Enrollment ID: | I20210618001566 |
| NPI Number: | 1407231244 |
| NPI Enumeration Date: | 22 Jul, 2015 |
| NPI Last Update On: | 04 Nov, 2021 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Robert Didericksen are as mentioned below.
| License Number | Specialization | State | Status | |
| 0995173 | Psych/Mental Health | Colorado | Primary | |
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Robert Didericksen is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Center For Family Development, Inc. (2466629217) | 9 |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Robert Didericksen
1258 High St,
Eugene, Oregon |
| Zip: | 97401-3238 |
| Phone Number: | 541-342-8437 |
Patients can reach Robert Didericksen at
1501 Pearl St, Eugene, Oregon or can
call to book an appointment on 541-342-8437.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.