Organization Active NPI

Nena Johnstone Psy D PC

  • Clinical Psychologist
  • Portland, OR
National Provider Identifier
1013048677
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
849 Issued in OR
Legal business name
NENA JOHNSTONE PSY D PC
Practice address
12640 SE Stark St
Portland, OR 97233-1058
Phone
(503) 252-2256
Fax
(503) 252-2147
NPI assigned
Mar 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Nena Johnstone, PSY.D.
Title
President
Phone
(503) 252-2256

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 849 OR Primary

Addresses

Primary practice location

12640 SE Stark St
Portland, OR 97233-1058

Mailing address

12640 SE Stark St
Portland, OR 97233-1058
Phone (503) 252-2256

National Provider Directory

National Provider Directory

Locations

12640 SE Stark St
Portland, OR 97233
Phone (503) 252-2256

NPI Registry JSON

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013048677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12640 SE STARK ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972331058",
            "telephone_number": "503-252-2256",
            "fax_number": "503-252-2147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12640 SE STARK ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972331058",
            "telephone_number": "503-252-2256",
            "fax_number": "503-252-2147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NENA JOHNSTONE PSY D PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JOHNSTONE",
        "authorized_official_first_name": "NENA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-252-2256",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "OR",
            "license": "849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 22, 2020; 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.