Active NPI
Vanessa Hara, PSYD
- Clinical Psychologist
- Portland, OR
National Provider Identifier
1235780891
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 3119
- Practice address
- 5050 NE Hoyt St Ste 315
Portland, OR 97213-2982 - Phone
- (503) 215-8580
- NPI assigned
- Sep 25, 2019
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 3119 | OR | Primary |
Addresses
Primary practice location
5050 NE Hoyt St Ste 315
Portland, OR 97213-2982
Mailing address
1061 NE 9TH Ave Apt 635
Portland, OR 97232-3498
Phone (206) 819-1106
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | vhara543675@oc.providencedirect.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3119 | OR | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602633600000",
"number": "1235780891",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1061 NE 9TH AVE APT 635",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972323498",
"telephone_number": "206-819-1106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5050 NE HOYT ST STE 315",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972132982",
"telephone_number": "503-215-8580"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARA",
"first_name": "VANESSA",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-25",
"last_updated": "2020-10-14",
"certification_date": "2020-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "OR",
"license": "3119",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "vhara543675@oc.providencedirect.org",
"affiliation": "N",
"address_1": "5050 NE Hoyt St Ste 615",
"city": "Portland",
"state": "OR",
"country_code": "US",
"postal_code": "972132958",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Oct 14, 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.