Active NPI
Kimberly Hillman
- Psychologist
- Tigard, OR
National Provider Identifier
1306296215
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Practice address
- 11845 SW Greenburg Rd Ste 210
Tigard, OR 97223-6464 - Phone
- (971) 264-0879
- NPI assigned
- Jun 21, 2016
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | Primary |
Addresses
Primary practice location
11845 SW Greenburg Rd Ste 210
Tigard, OR 97223-6464
Mailing address
11845 SW Greenburg Rd Ste 210
Tigard, OR 97223-6464
Phone (971) 264-0879
Other practice location 1
222 SE 8th Ave
Hillsboro, OR 97123-4218
Phone (503) 352-7333
Other practice location 2
Children's Program
6443 SW Beaverton Hillsdale Hwy #300
Portland, OR 97221
Phone (503) 452-8002
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)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr. Sanderson and Associates, LLC | Mental Health | Current | Accepting new patients |
Locations
11845 SW Greenburg Rd
Ste 210
Tigard, OR 97223
Phone (971) 264-0879
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1466467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649376000000",
"number": "1306296215",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11845 SW GREENBURG RD STE 210",
"city": "TIGARD",
"state": "OR",
"postal_code": "972236464",
"telephone_number": "971-264-0879"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11845 SW GREENBURG RD STE 210",
"city": "TIGARD",
"state": "OR",
"postal_code": "972236464",
"telephone_number": "971-264-0879"
}
],
"practiceLocations": [
{
"address_1": "222 SE 8th Ave",
"address_purpose": "LOCATION",
"city": "Hillsboro",
"state": "OR",
"postal_code": "971234218",
"country_code": "US",
"telephone_number": "503-352-7333",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "Children's Program",
"address_2": "6443 SW Beaverton Hillsdale Hwy #300",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "97221",
"country_code": "US",
"telephone_number": "503-452-8002",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HILLMAN",
"first_name": "KIMBERLY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-21",
"last_updated": "2022-04-08",
"certification_date": "2022-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tigard, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.