Jun Ao, Psy.D., LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

2757 Issued in OR

Legal business name

JUN AO, PSY.D., LLC

Practice address

4531 SE Belmont St Ste 318
Portland, OR 97215-1675

Phone

(971) 266-1753

NPI assigned

May 26, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Jun Ying Ao, PSY.D.NPI 1548396450

Title

Licensed Clinical Psychologist

Phone

(971) 266-1753

Specialties & licenses 1

Addresses

Practitioners 1

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

• Jun Ying Ao, PSY.D.

  • Counselor
  • Clackamas, OR
  • NPI 1548396450
  NPD Authorized official

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

{
    "created_epoch": "1495756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1495756800000",
    "number": "1316475981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3137 SE 58TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972062020",
            "telephone_number": "503-819-5293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4531 SE BELMONT ST STE 318",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972151675",
            "telephone_number": "971-266-1753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUN AO, PSY.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-26",
        "last_updated": "2017-05-26",
        "status": "A",
        "authorized_official_last_name": "AO",
        "authorized_official_first_name": "JUN YING",
        "authorized_official_title_or_position": "LICENSED CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "971-266-1753",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "OR",
            "license": "2757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Judith Diane Julien, PSY.D.
• Heather Renee Julius, RN
• Kristen Y Jun
• Weon Jun, O.D.
• Rachael Junard
• Connor C. Jung
• Terresa Shao-Ving Jung, MD

• Clinical Psychologist in Portland, OR
• Providers in Portland, OR by specialty
• Clinical Psychologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2017; 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.