Individual provider Active NPI

Janet Lynn Kirkland, PH.D.

  • Clinical Psychologist
  • Beaverton, OR
National Provider Identifier
1316953276
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1250 Issued in OR
Practice address
2079 NW Town Center Dr
Beaverton, OR 97006-8938
Phone
(503) 810-3269
NPI assigned
Jul 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 1250 OR Primary

Addresses

Primary practice location

2079 NW Town Center Dr
Beaverton, OR 97006-8938

Mailing address

2079 NW Town Center Dr
Beaverton, OR 97006-8938
Phone (503) 810-3269

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
I20061212000672 OR Practitioner - Clinical Psychologist 8123027505 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

10700 SW Beaverton Hillsdale Hwy
BLDG 3 Suite 548
Beaverton, OR 97005-3037
Phone (503) 810-3269

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Janet Kirkland PHD PC Clinical CurrentSince Jan 12, 2007 Accepting new patients

Locations

10700 SW Beaverton Hillsdale Hwy
Ste 548
Beaverton, OR 97005
Phone (503) 810-3269

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": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316953276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2079 NW TOWN CENTER DR",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970068938",
            "telephone_number": "503-810-3269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2079 NW TOWN CENTER DR",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970068938",
            "telephone_number": "503-810-3269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRKLAND",
        "first_name": "JANET",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OR",
            "license": "1250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaverton, OR

Sources for this page

Verify at the official NPI Registry.