Individual provider Active NPI

Lianne Beth Richland, PSY.D

  • Clinical Psychologist
  • Tigard, OR
National Provider Identifier
1316929805
Registry record updated Sep 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1354 Issued in OR
Practice address
6950 SW Hampton St Ste 334
Tigard, OR 97223-8172
Phone
(503) 422-3311
Fax
(503) 443-3975
NPI assigned
Nov 18, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 1354 OR Primary

Addresses

Primary practice location

6950 SW Hampton St Ste 334
Tigard, OR 97223-8172

Mailing address

6950 SW Hampton St Ste 334
Tigard, OR 97223-8172
Phone (503) 422-3311

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120330000191 OR Practitioner - Clinical Psychologist 4183884067 Practice locations: Tigard, OR

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

6950 SW Hampton
Suite 334
Tigard, OR 97223-8172
Phone (503) 422-3311

6950 SW Hampton St
Suite 334
Tigard, OR 97223-8172

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1354ORMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1132272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600387200000",
    "number": "1316929805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6950 SW HAMPTON ST STE 334",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972238172",
            "telephone_number": "503-422-3311",
            "fax_number": "503-443-3975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6950 SW HAMPTON ST STE 334",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972238172",
            "telephone_number": "503-422-3311",
            "fax_number": "503-443-3975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHLAND",
        "first_name": "LIANNE",
        "middle_name": "BETH",
        "name_prefix": "Dr.",
        "credential": "PSY.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-18",
        "last_updated": "2020-09-18",
        "certification_date": "2020-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OR",
            "license": "1354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tigard, OR

Sources for this page

Verify at the official NPI Registry.