Organization Active NPI

Noreen Riordan, PH.D., LLC

  • Psychologist
  • Portland, OR
National Provider Identifier
1578911798
Registry record updated May 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
NOREEN RIORDAN, PH.D., LLC
Practice address
1020 SW Taylor St
715
Portland, OR 97205-2543
Phone
(503) 274-0040
NPI assigned
May 27, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2016

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

Authorized official

Name
Dr. Noreen Margaret Riordan, PH.D.NPI 1235280009
Title
Psychologist
Phone
(503) 274-0040

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

1020 SW Taylor St
715
Portland, OR 97205-2543

Mailing address

1020 SW Taylor St
715
Portland, OR 97205-2543
Phone (503) 274-0040

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, WA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20161021001111 OR Part B Supplier - Clinic/Group Practice 0345528527 Receives reassigned benefits from 1 practitioner
Practice locations: Portland, OR
O20161021001206 WA Part B Supplier - Clinic/Group Practice 0345528527 Receives reassigned benefits from 1 practitioner
Practice locations: Vancouver, WA

National Provider Directory

National Provider Directory

Locations

1020 SW Taylor St
Ste 715
Portland, OR 97205
Phone (503) 274-0040

1701 E Evergreen Blvd
Vancouver, WA 98661
Phone (360) 281-3114

1701 E Evergreen Blvd
Ste 505
Vancouver, WA 98661

1112 Daniels St
Ste 102
Vancouver, WA 98660
Phone (360) 750-0632

601 Main St
Ste 505
Vancouver, WA 98660
Phone (360) 750-0032

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": "1464307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464307200000",
    "number": "1578911798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 SW TAYLOR ST",
            "address_2": "715",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972052543",
            "telephone_number": "503-274-0040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 SW TAYLOR ST",
            "address_2": "715",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972052543",
            "telephone_number": "503-274-0040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOREEN RIORDAN, PH.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-27",
        "last_updated": "2016-05-27",
        "status": "A",
        "authorized_official_last_name": "RIORDAN",
        "authorized_official_first_name": "NOREEN",
        "authorized_official_middle_name": "MARGARET",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "503-274-0040",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "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 May 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.