Individual provider Active NPI

Natalia Elizabeth Rich-Wimmer, PSYD

  • Clinical Neuropsychologist
  • Newberg, OR
National Provider Identifier
1427780378
Registry record updated Jan 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
3786 Issued in OR
Practice address
307 E 2ND St Ste 250
Newberg, OR 97132-3077
Phone
(971) 832-8550
NPI assigned
Jun 29, 2022
Sex
Female
Sole proprietor
Yes

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

State licenses

LicenseStateTypeSpecialty
3786ORMDIntellectual & Developmental Disabilities Psychologist

NPPES NPI Registry

Updated by the provider on Jan 2, 2025

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Cognitive & Behavioral Psychologist 103TB0200X 3786 OR
Clinical Child & Adolescent Psychologist 103TC2200X 3786 OR
Intellectual & Developmental Disabilities Psychologist 103TM1800X 3786 OR
Clinical Psychologist 103TC0700X 3786 OR
Counseling Psychologist 103TC1900X 3786 OR
Clinical Neuropsychologist 103G00000X 3786 OR Primary
Psychologist 103T00000X 3786 OR

Addresses

Primary practice location

307 E 2ND St Ste 250
Newberg, OR 97132-3077

Mailing address

307 E 2ND St Ste 250
Newberg, OR 97132-3077
Phone (541) 399-3842

Other practice location 1

79 S Whitaker St
Portland, OR 97239-4807
Phone (541) 399-3842

NPI Registry JSON

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

{
    "created_epoch": "1656460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735776000000",
    "number": "1427780378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 E 2ND ST STE 250",
            "city": "NEWBERG",
            "state": "OR",
            "postal_code": "971323077",
            "telephone_number": "541-399-3842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 E 2ND ST STE 250",
            "city": "NEWBERG",
            "state": "OR",
            "postal_code": "971323077",
            "telephone_number": "971-832-8550"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "79 S Whitaker St",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972394807",
            "country_code": "US",
            "telephone_number": "541-399-3842",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICH-WIMMER",
        "first_name": "NATALIA",
        "middle_name": "ELIZABETH",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-29",
        "last_updated": "2025-01-02",
        "certification_date": "2025-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "OR",
            "license": "3786",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "OR",
            "license": "3786",
            "primary": false
        },
        {
            "code": "103TM1800X",
            "taxonomy_group": "",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": "OR",
            "license": "3786",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OR",
            "license": "3786",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "OR",
            "license": "3786",
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "OR",
            "license": "3786",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OR",
            "license": "3786",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newberg, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2025; 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.