Active NPI
Heather Lynn Stein, PSY.D.
- Psychologist
- Portland, OR
National Provider Identifier
1205048683
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 1338
- Practice address
- 2143 NE Broadway St
Suite #5
Portland, OR 97232-1512 - Phone
- (503) 804-2736
- Fax
- (503) 804-2736
- NPI assigned
- May 5, 2007
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 1338 | OR | Primary |
Addresses
Primary practice location
2143 NE Broadway St
Suite #5
Portland, OR 97232-1512
Mailing address
2143 NE Broadway St
Suite #5
Portland, OR 97232-1512
Phone (503) 804-2736
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 |
|---|---|---|---|---|
| I20221003003082 | OR | Practitioner - Clinical Psychologist | 1355600537 | Practice locations: Portland, OR |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2143 NE Broadway St
Suite 5
Portland, OR 97232-1512
Phone (503) 804-2736
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178323200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1512518400000",
"number": "1205048683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2143 NE BROADWAY ST",
"address_2": "SUITE #5",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972321512",
"telephone_number": "503-804-2736",
"fax_number": "503-804-2736"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2143 NE BROADWAY ST",
"address_2": "SUITE #5",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972321512",
"telephone_number": "503-804-2736",
"fax_number": "503-804-2736"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEIN",
"first_name": "HEATHER",
"middle_name": "LYNN",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-05",
"last_updated": "2017-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "OR",
"license": "1338",
"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 Dec 6, 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.
- 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.