Individual provider Active NPI

Thomas Christopher Portman, PH.D.

  • Psychologist
  • Bellingham, WA
National Provider Identifier
1063473353
Registry record updated Aug 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
1615 Issued in WA
Practice address
1118 Finnegan Way
Suite 104
Bellingham, WA 98225-6622
Phone
(360) 733-4502
Fax
(360) 733-7594
NPI assigned
Mar 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 1615 WA Primary

Addresses

Primary practice location

1118 Finnegan Way
Suite 104
Bellingham, WA 98225-6622

Mailing address

1201 13TH St
Ste 102
Bellingham, WA 98225-7154
Phone (360) 733-4502

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090702000465 WA Practitioner - Clinical Psychologist 4789735762 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Oregon Health Sciences University School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1201 13TH St
Suite 102
Bellingham, WA 98225-7154
Phone (360) 733-4502

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
1615WAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
T Christopher Portman PHD PS Psychologist CurrentSince Aug 12, 2009 Accepting new patients
Lind Psychological Services Inc Psychologist PastSince Aug 4, 2012 Accepting new patients

Locations

1201 13th St
Ste 102
Bellingham, WA 98225
Phone (360) 733-4502

1118 Finnegan Way
Ste 104
Bellingham, WA 98225
Phone (360) 733-4502

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1143504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472601600000",
    "number": "1063473353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 13TH ST",
            "address_2": "STE 102",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982257154",
            "telephone_number": "360-733-4502",
            "fax_number": "360-733-7594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1118 FINNEGAN WAY",
            "address_2": "SUITE 104",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982256622",
            "telephone_number": "360-733-4502",
            "fax_number": "360-733-7594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTMAN",
        "first_name": "THOMAS",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-28",
        "last_updated": "2016-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WA",
            "license": "1615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

Verify at the official NPI Registry.