Individual provider Active NPI

Norma Kehdi Kehdi

  • Clinical Psychologist
  • Albany, OR
National Provider Identifier
1518479146
Registry record updated Nov 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
3653 Issued in OR
Practice address
2225 Pacific Blvd SE Ste 108
Albany, OR 97321-7903
Phone
(503) 877-9495
NPI assigned
Nov 5, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 28, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 3653 OR Primary
Clinical Psychologist 103TC0700X 29158 CA

Addresses

Primary practice location

2225 Pacific Blvd SE Ste 108
Albany, OR 97321-7903

Mailing address

3115 Duane Ave SE
Albany, OR 97322-7366
Phone (503) 516-7832

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
3653ORMDClinical Psychologist
29158CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Robert Briones, a Psychological Corporation Clinical Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1509840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701129600000",
    "number": "1518479146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3115 DUANE AVE SE",
            "city": "ALBANY",
            "state": "OR",
            "postal_code": "973227366",
            "telephone_number": "503-516-7832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2225 PACIFIC BLVD SE STE 108",
            "city": "ALBANY",
            "state": "OR",
            "postal_code": "973217903",
            "telephone_number": "503-877-9495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEHDI",
        "first_name": "NORMA",
        "middle_name": "KEHDI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-05",
        "last_updated": "2023-11-28",
        "certification_date": "2023-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OR",
            "license": "3653",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "29158",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 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.