Active NPI
Sandra Kay Pinches, PH.D.
- Clinical Psychologist
- Portland, OR
National Provider Identifier
1154416568
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 439
- Practice address
- 10175 SW Barbur Blvd.
Suite 300BD
Portland, OR 97219-5909 - Phone
- (503) 452-8306
- NPI assigned
- Oct 3, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 439 | OR | Primary |
Addresses
Primary practice location
10175 SW Barbur Blvd.
Suite 300BD
Portland, OR 97219-5909
Mailing address
P.O. Box 19251
Portland, OR 97280-0251
Phone (503) 452-8306
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100907000265 | OR | Practitioner - Clinical Psychologist | 8820112303 | Practice locations: Portland, OR |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1978
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
10175 SW Barbur Blvd
Suite 300BD
Portland, OR 97219-5909
Phone (503) 452-8306
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 439 | OR | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1322438400000",
"number": "1154416568",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 19251",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972800251",
"telephone_number": "503-452-8306"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10175 SW BARBUR BLVD.",
"address_2": "SUITE 300BD",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972195909",
"telephone_number": "503-452-8306"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PINCHES",
"first_name": "SANDRA",
"middle_name": "KAY",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-03",
"last_updated": "2011-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "OR",
"license": "439",
"primary": true
}
],
"identifiers": [],
"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 Nov 28, 2011; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.