Active NPI
Jennifer Hegg, PSY.D.
- Forensic Psychologist
- Portland, OR
National Provider Identifier
1114454360
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Forensic Psychologist
- License
- 2767
- Practice address
- 4438 NE 90TH Ave
Portland, OR 97220-5022 - Phone
- (510) 908-0928
- NPI assigned
- May 18, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Forensic Psychologist | 103TF0200X | 2767 | OR | Primary |
Addresses
Primary practice location
4438 NE 90TH Ave
Portland, OR 97220-5022
Mailing address
4438 NE 90TH Ave
Portland, OR 97220-5022
Phone (510) 908-0928
Other names 1
- Jennifer Ashburn
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2767 | OR | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1495065600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1495065600000",
"number": "1114454360",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4438 NE 90TH AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972205022",
"telephone_number": "510-908-0928"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4438 NE 90TH AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972205022",
"telephone_number": "510-908-0928"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEGG",
"first_name": "JENNIFER",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-05-18",
"last_updated": "2017-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "103TF0200X",
"taxonomy_group": "",
"desc": "Psychologist, Forensic",
"state": "OR",
"license": "2767",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JENNIFER",
"last_name": "ASHBURN",
"code": "1",
"type": "Former Name"
}
]
}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 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.