Individual provider Active NPI

Sherry Lynn Harden, PSYD

  • Psychologist
  • Hillsboro, OR
National Provider Identifier
1073534780
Registry record updated Jun 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
1404 Issued in OR
Practice address
3000 NW Stucki PL
Suite 230
Hillsboro, OR 97124-7328
Phone
(503) 533-9806
Fax
(503) 533-9806
NPI assigned
Jul 21, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 26, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 1404 OR Primary

Addresses

Primary practice location

3000 NW Stucki PL
Suite 230
Hillsboro, OR 97124-7328

Mailing address

3000 NW 3000 Stucki Place
Suite 230
Hillsboro, OR 97124
Phone (503) 533-9806

Other identifiers 1

IdentifierTypeStateIssuer
054123016OtherBLUE CROSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20040621001682 OR Practitioner - Clinical Psychologist 1850376138 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1791 NW 173Rd Ave
Suite 140
Beaverton, OR 97006-5630
Phone (503) 533-9806

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1404ORMDNaturopath

Practice roles

OrganizationSpecialtyStatusNew patients
Harden Psychological Associates, P.C. CurrentSince Jun 25, 2008 Accepting new patients

Locations

1791 NW 173rd Ave
Ste 140
Beaverton, OR 97006
Phone (503) 533-9806

3000 NE Stucki Ave
Ste 230
Hillsboro, OR 97124
Phone (503) 533-9806

Organizations & group practices 1

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": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214438400000",
    "number": "1073534780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 NW 3000 STUCKI PLACE",
            "address_2": "SUITE 230",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "97124",
            "telephone_number": "503-533-9806",
            "fax_number": "503-533-9806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 NW STUCKI PL",
            "address_2": "SUITE 230",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971247328",
            "telephone_number": "503-533-9806",
            "fax_number": "503-533-9806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARDEN",
        "first_name": "SHERRY",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-21",
        "last_updated": "2008-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OR",
            "license": "1404",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "054123016",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsboro, OR

Sources for this page

Verify at the official NPI Registry.