Individual provider Active NPI

Michelle Madalena Tran, PSYD

  • Psychologist
  • Portland, OR
National Provider Identifier
1467805309
Registry record updated Jun 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
3212 Issued in OR
Practice address
516 SE Morrison St Ste 400
Portland, OR 97214-2344
Phone
(503) 764-9646
NPI assigned
Jul 15, 2016
Last updated
Jun 21, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 21, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 3212 OR Primary
Health Service Psychologist 103TH0100X 3212 OR

Addresses

Primary practice location

516 SE Morrison St Ste 400
Portland, OR 97214-2344

Mailing address

847 NE 19TH Ave Ste 150
Portland, OR 97232-2686
Phone (503) 222-0707

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
3212ORMDNutrition Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Mindsights, P.C. Psychologist CurrentSince Sep 20, 2020 Accepting new patients

Locations

516 SE Morrison St
Ste 400
Portland, OR 97214
Phone (503) 222-0707

847 NE 19th Ave
Ste 150
Portland, OR 97232
Phone (503) 222-0707

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": "1468540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687305600000",
    "number": "1467805309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "847 NE 19TH AVE STE 150",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972322686",
            "telephone_number": "503-222-0707",
            "fax_number": "503-764-9646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 SE MORRISON ST STE 400",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972142344",
            "telephone_number": "503-764-9646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN",
        "first_name": "MICHELLE",
        "middle_name": "MADALENA",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-15",
        "last_updated": "2023-06-21",
        "certification_date": "2023-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OR",
            "license": "3212",
            "primary": true
        },
        {
            "code": "103TH0100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health Service",
            "state": "OR",
            "license": "3212",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Jun 21, 2023; 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.