Individual provider Active NPI

Robyn Cullen, M.A., LMFT

  • Marriage & Family Therapist
  • Portland, OR
National Provider Identifier
1336446814
Registry record updated Sep 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC53820 Issued in CA
Practice address
1235 SE Division St Ste 203B
Portland, OR 97202-1087
Phone
(949) 779-0953
NPI assigned
Feb 18, 2011
Last updated
Sep 29, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFC53820 CA Primary
Marriage & Family Therapist 106H00000X T2461 OR

Addresses

Primary practice location

1235 SE Division St Ste 203B
Portland, OR 97202-1087

Mailing address

2512 SE 25TH Ave Ste 206
Portland, OR 97202-2075
Phone (619) 208-5221

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Hello@RobynCullen.com Direct

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
MFC53820CAMDMarriage & Family Therapist
T2461ORMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Robyn D'Angelo Marriage and Family Therapy Corporation Marriage & Family Therapist PastSince Jan 24, 2021 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1297987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727568000000",
    "number": "1336446814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2512 SE 25TH AVE STE 206",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972022075",
            "telephone_number": "619-208-5221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1235 SE DIVISION ST STE 203B",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972021087",
            "telephone_number": "949-779-0953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CULLEN",
        "first_name": "ROBYN",
        "credential": "M.A., LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-18",
        "last_updated": "2024-09-29",
        "certification_date": "2024-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC53820",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OR",
            "license": "T2461",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Hello@RobynCullen.com",
            "affiliation": "N",
            "endpointDescription": "BAA business google workplace address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "2512 SE 25th Ave Ste 206",
            "city": "Portland",
            "state": "OR",
            "country_code": "US",
            "postal_code": "972022075",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2024; 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.