Organization Active NPI

Hummingbird Healing Psychotherapy LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lake Oswego, OR
National Provider Identifier
1295423366
Registry record updated Apr 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
HUMMINGBIRD HEALING PSYCHOTHERAPY LLC
Practice address
4 Touchstone Apt 70
Lake Oswego, OR 97035-1959
Phone
(845) 248-4103
NPI assigned
Apr 27, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2023

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

Authorized official

Name
Phillipa JaglaNPI 1881047520
Title
Owner
Phone
(845) 248-4103

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
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

4 Touchstone Apt 70
Lake Oswego, OR 97035-1959

Mailing address

4 Touchstone Apt 70
Lake Oswego, OR 97035-1959
Phone (845) 248-4103

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240112001157 OR Part B Supplier - Clinic/Group Practice 1052762168 Receives reassigned benefits from 1 practitioner
Practice locations: Lake Oswego, OR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1682553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682553600000",
    "number": "1295423366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 TOUCHSTONE APT 70",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970351959",
            "telephone_number": "845-248-4103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 TOUCHSTONE APT 70",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970351959",
            "telephone_number": "845-248-4103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUMMINGBIRD HEALING PSYCHOTHERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-27",
        "last_updated": "2023-04-27",
        "certification_date": "2023-04-27",
        "status": "A",
        "authorized_official_last_name": "JAGLA",
        "authorized_official_first_name": "PHILLIPA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "845-248-4103"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Oswego, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.