Organization Active NPI

Joseph Rhinewine, PHD, PC

  • Clinical Psychologist
  • Portland, OR
National Provider Identifier
1578892386
Registry record updated Dec 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1754 Issued in OR
Legal business name
JOSEPH RHINEWINE, PHD, PC
Practice address
522 SW 5TH Ave
Ste 725
Portland, OR 97204-2133
Phone
(503) 222-2361
Fax
(503) 222-2395
NPI assigned
Dec 8, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2009

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

Authorized official

Name
Dr. Joseph Rhinewine, PHD
Title
Director
Phone
(503) 222-2361

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X 1754 OR Primary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 4549 OR

Addresses

Primary practice location

522 SW 5TH Ave
Ste 725
Portland, OR 97204-2133

Mailing address

522 SW 5TH Ave
Ste 725
Portland, OR 97204-2133
Phone (503) 222-2361

Other names 1

  • Portland Mindfulness Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

522 SW 5th Ave
Ste 725
Portland, OR 97204
Phone (503) 222-2361

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1260230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260230400000",
    "number": "1578892386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "522 SW 5TH AVE",
            "address_2": "STE 725",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972042133",
            "telephone_number": "503-222-2361",
            "fax_number": "503-222-2395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 SW 5TH AVE",
            "address_2": "STE 725",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972042133",
            "telephone_number": "503-222-2361",
            "fax_number": "503-222-2395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH RHINEWINE, PHD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-08",
        "last_updated": "2009-12-08",
        "status": "A",
        "authorized_official_last_name": "RHINEWINE",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "503-222-2361",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "OR",
            "license": "1754",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "4549",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Portland Mindfulness Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 8, 2009; 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.