Individual provider Active NPI

Janice I Volkin, PH.D.

  • Clinical Psychologist
  • Portland, OR
National Provider Identifier
1497806517
Registry record updated Jun 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
829 Issued in OR
Practice address
5520 SW Macadam Ave Ste 260
Portland, OR 97239-3741
Phone
(503) 705-1032
Fax
(503) 741-2006
NPI assigned
Jan 15, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 829 OR Primary

Addresses

Primary practice location

5520 SW Macadam Ave Ste 260
Portland, OR 97239-3741

Mailing address

5520 SW Macadam Ave Ste 260
Portland, OR 97239-3741
Phone (503) 705-1032

Other identifiers 2

IdentifierTypeStateIssuer
L28104OtherORDHS
295442MedicaidOR

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)
Enrolled
Credentials
Doctor of Philosophy

NPI Registry JSON

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

{
    "created_epoch": "1168819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402272000000",
    "number": "1497806517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5520 SW MACADAM AVE STE 260",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972393741",
            "telephone_number": "503-705-1032",
            "fax_number": "503-741-2006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5520 SW MACADAM AVE STE 260",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972393741",
            "telephone_number": "503-705-1032",
            "fax_number": "503-741-2006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOLKIN",
        "first_name": "JANICE",
        "middle_name": "I",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-15",
        "last_updated": "2014-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OR",
            "license": "829",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DHS",
            "identifier": "L28104",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "295442",
            "state": "OR"
        }
    ],
    "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 9, 2014; 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.