Jana Marie Corbett, B.SC., M.SC., PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

2811 Issued in OR

Practice address

9620 NW Bermar LN
Portland, OR 97229-5218

Phone

(971) 401-8293

NPI assigned

Jan 12, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Dr. Jana Richert Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1421020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699488000000",
    "number": "1194114389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9620 NW BERMAR LN",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972295218",
            "telephone_number": "714-018-2939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9620 NW BERMAR LN",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972295218",
            "telephone_number": "971-401-8293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORBETT",
        "first_name": "JANA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "B.SC., M.SC., PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-12",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": "18-02-05",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OR",
            "license": "2811",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500704276",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANA",
            "last_name": "RICHERT",
            "prefix": "DR.",
            "credential": "B.SC., M.SC., PH.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Constance Joan Coquillette, LCSW
• Cora Forsten LLC
• Raina Corah, D.C.
• Nate J Corbell, LMT
• Elizabeth Corbett-Furgal
• Koren Olivia Corbett, CNM
• Kristin Corbett, RPH
• Tiffany Corbett
• Nicole Corbin Lawson, QMHP,LPC,CADC
• Carmen Tara Corbin II, QMHA, CADC I

• Psychologist in Portland, OR
• Providers in Portland, OR by specialty
• Psychologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2023; 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.