NPIMap

Organization Active NPI

Tierra Firma LLC

  • Clinical Psychologist
  • Astoria, OR
National Provider Identifier
1275912503
Registry record updated May 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2275 Issued in OR
Legal business name
TIERRA FIRMA LLC
Practice address
174 Commercial St
Astoria, OR 97103-4333
Phone
(971) 227-2063
Fax
(503) 325-2821
NPI assigned
May 19, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2015

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

Authorized official

Name
Ruby Berdine, PSYDNPI 1598919680
Title
President
Phone
(971) 227-2063

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 2275 OR Primary

Addresses

Primary practice location

174 Commercial St
Astoria, OR 97103-4333

Mailing address

2841 NE 21St Ave
Portland, OR 97212-3408
Phone (971) 227-2063

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1431993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432080000000",
    "number": "1275912503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2841 NE 21ST AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972123408",
            "telephone_number": "971-227-2063",
            "fax_number": "503-325-2821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "174 COMMERCIAL ST",
            "city": "ASTORIA",
            "state": "OR",
            "postal_code": "971034333",
            "telephone_number": "971-227-2063",
            "fax_number": "503-325-2821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIERRA FIRMA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-19",
        "last_updated": "2015-05-20",
        "status": "A",
        "authorized_official_last_name": "BERDINE",
        "authorized_official_first_name": "RUBY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "971-227-2063",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "OR",
            "license": "2275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Astoria, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2015; 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.