NPIMap

Organization Active NPI

Transitions Professional Center

  • Psychologist
  • Portland, OR
National Provider Identifier
1093126674
Registry record updated May 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
2439 Issued in OR
Legal business name
TRANSITIONS PROFESSIONAL CENTER
Practice address
6514 SE 42ND Ave
Portland, OR 97206-7702
Phone
(503) 972-7090
Fax
(833) 527-3447
NPI assigned
May 16, 2014
Last updated
May 15, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2020

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

Authorized official

Name
Emily R Vierck
Title
Administrator
Phone
(503) 972-7090

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 2439 OR Primary

Addresses

Primary practice location

6514 SE 42ND Ave
Portland, OR 97206-7702

Mailing address

4207 SE Woodstock Blvd # 411
Portland, OR 97206-6267
Phone (503) 972-7090

Other practice location 1

3735 SW River Pkwy
Portland, OR 97239-4560
Phone (503) 972-7090

Other identifiers 1

IdentifierTypeStateIssuer
2439OtherOROREGON BOARD OF PSYCHOLOGIST EXAMINERS

National Provider Directory

National Provider Directory
Tax ID family
Transitions Professional Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3735 S River Pkwy
Portland, OR 97239
Phone (503) 972-7090

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1400198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589500800000",
    "number": "1093126674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4207 SE WOODSTOCK BLVD # 411",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972066267",
            "telephone_number": "503-972-7090",
            "fax_number": "833-527-3447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6514 SE 42ND AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972067702",
            "telephone_number": "503-972-7090",
            "fax_number": "833-527-3447"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3735 SW River Pkwy",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972394560",
            "country_code": "US",
            "telephone_number": "503-972-7090",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TRANSITIONS PROFESSIONAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-16",
        "last_updated": "2020-05-15",
        "certification_date": "2020-05-15",
        "status": "A",
        "authorized_official_last_name": "VIERCK",
        "authorized_official_first_name": "EMILY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "503-972-7090"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OR",
            "license": "2439",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OREGON BOARD OF PSYCHOLOGIST EXAMINERS",
            "identifier": "2439",
            "state": "OR"
        }
    ],
    "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 May 15, 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.