Organization Active NPI

Edwards Psychotherapy, P.C.

  • Clinical Psychologist
  • Portland, OR
National Provider Identifier
1003237298
Registry record updated Dec 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
EDWARDS PSYCHOTHERAPY, P.C.
Practice address
1220 SW Morrison St
Suite 1100
Portland, OR 97205-2235
Phone
(503) 222-0557
NPI assigned
Dec 15, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Jamie Levin-Edwards
Title
President
Phone
(503) 222-0557

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

1220 SW Morrison St
Suite 1100
Portland, OR 97205-2235

Mailing address

1220 SW Morrison St
Suite 1100
Portland, OR 97205-2235
Phone (503) 222-0557

Other names 1

  • Edwards Psychotherapy Doing business as

National Provider Directory

National Provider Directory

Locations

1220 SW Morrison St
Ste 1100
Portland, OR 97205
Phone (503) 222-0557

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1387065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387065600000",
    "number": "1003237298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 SW MORRISON ST",
            "address_2": "SUITE 1100",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972052235",
            "telephone_number": "503-222-0557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 SW MORRISON ST",
            "address_2": "SUITE 1100",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972052235",
            "telephone_number": "503-222-0557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARDS PSYCHOTHERAPY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-15",
        "last_updated": "2013-12-15",
        "status": "A",
        "authorized_official_last_name": "LEVIN-EDWARDS",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-222-0557",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Edwards Psychotherapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.