Active NPI
Justin Higa, PSY.D.
- Clinical Psychologist
- Portland, OR
National Provider Identifier
1487963559
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 2113
- Practice address
- 1130 SW Morrison St
Suite 250
Portland, OR 97205-2234 - Phone
- (503) 488-5470
- Fax
- (503) 223-4846
- NPI assigned
- Oct 6, 2010
- Sex
- Male
- 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 | 2113 | OR | Primary |
Addresses
Primary practice location
1130 SW Morrison St
Suite 250
Portland, OR 97205-2234
Mailing address
1130 SW Morrison St
Suite 250
Portland, OR 97205-2234
Phone (503) 488-5470
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2113 | OR | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1286323200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316476800000",
"number": "1487963559",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1130 SW MORRISON ST",
"address_2": "SUITE 250",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972052234",
"telephone_number": "503-488-5470",
"fax_number": "503-223-4846"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1130 SW MORRISON ST",
"address_2": "SUITE 250",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972052234",
"telephone_number": "503-488-5470",
"fax_number": "503-223-4846"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HIGA",
"first_name": "JUSTIN",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-10-06",
"last_updated": "2011-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "OR",
"license": "2113",
"primary": true
}
],
"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 Sep 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.