Active NPI
Amanda Holmes Starr, PSY.D.
- Clinical Psychologist
- Portland, OR
National Provider Identifier
1396993101
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 1984
- Practice address
- 5200 SW Macadam Ave
Suite 580
Portland, OR 97239-6103 - Phone
- (503) 231-7854
- Fax
- (503) 231-8153
- NPI assigned
- Sep 4, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 1984 | OR | Primary |
Addresses
Primary practice location
5200 SW Macadam Ave
Suite 580
Portland, OR 97239-6103
Mailing address
5200 SW Macadam Ave
Suite 580
Portland, OR 97239-6103
Phone (503) 231-7854
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1984 | OR | MD | Naturopath |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1220486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1225670400000",
"number": "1396993101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5200 SW MACADAM AVE",
"address_2": "SUITE 580",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972396103",
"telephone_number": "503-231-7854",
"fax_number": "503-231-8153"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5200 SW MACADAM AVE",
"address_2": "SUITE 580",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972396103",
"telephone_number": "503-231-7854",
"fax_number": "503-231-8153"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STARR",
"first_name": "AMANDA",
"middle_name": "HOLMES",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-09-04",
"last_updated": "2008-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "OR",
"license": "1984",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portland, OR
- Starling Oncology Or, a Professional Corporation (Starling Oncology)
- Jerrell Lamon Starling, M.A., LMHCA
- Matthew T Staropoli, MD
- Starr-Wood Cardiac Group of Portland PC (NorthStarr Cardiothoracic Surgery)
- Starr-Wood Cardiac Service PC
- Duane Terrell Starr, D.M.D.
- Ian Richard Starr, M.D.
- Jessica Faye Starr
- Julia Ann Starr
- Kathryn Starr, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.