Provider Demographics
NPI:1154204055
Name:INSIGHT THERAPY & CONSULTATION
Entity type:Organization
Organization Name:INSIGHT THERAPY & CONSULTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MARIKO
Authorized Official - Middle Name:MEDALLADA
Authorized Official - Last Name:LIN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:608-217-8530
Mailing Address - Street 1:313 E 8TH AVE
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97401-2709
Mailing Address - Country:US
Mailing Address - Phone:608-217-8530
Mailing Address - Fax:
Practice Address - Street 1:313 E 8TH AVE
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97401-2709
Practice Address - Country:US
Practice Address - Phone:608-217-8530
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-28
Last Update Date:2025-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounselingGroup - Single Specialty
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)