Roberta L Mihara, PSYD

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

1690 Issued in OR

Practice address

3024 NE 63Rd Ave
Portland, OR 97213-4510

Phone

(503) 288-5300

NPI assigned

Feb 13, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Project Quest

  • Specialist
  • Portland, OR
  • NPI 1134458052
  NPD (past)
• Project Quest

  • Addiction (Substance Use Disorder) Counselor
  • Portland, OR
  • NPI 1144250168

  Counseling

  NPD (past)

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184889600000",
    "number": "1043352289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3024 NE 63RD AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972134510",
            "telephone_number": "503-288-5300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3024 NE 63RD AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972134510",
            "telephone_number": "503-288-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIHARA",
        "first_name": "ROBERTA",
        "middle_name": "L",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-13",
        "last_updated": "2007-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "OR",
            "license": "1690",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "028298",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexa Migdol
• Brenda L Miggins-Vaughn
• Mighty Oak ABA LLC
• Gina Elizabeth Migneco, PHARMD
• Michael Mihalas, LCSW
• Camelia Mihart, AGACNP
• Paige Y Miho, DC
• Stephanie Mijo
• Mikalah Barem Nutrition LLC
• Steven Wayne Mikalson, LMT

• Counseling Psychologist in Portland, OR
• Providers in Portland, OR by specialty
• Counseling Psychologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2007; 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.