Active NPI
David Kline, PSYD
- Psychologist
- Portland, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 3283
- Practice address
- 8555 SW Apple Way Ste 320
Portland, OR 97225-1775 - Phone
- (877) 840-6956
- NPI assigned
- Sep 25, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Psychologist | 103T00000X | 3283 | OR | Primary |
Addresses
Primary practice location
8555 SW Apple Way Ste 320
Portland, OR 97225-1775
Mailing address
PO Box 601422
San Diego, CA 92160-1422
Phone (877) 840-6956
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3283 | OR | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Western Psychological and Counseling Services LLC | Mental Health | Current | Accepting new patients |
| Western Psychological and Counseling Services LLC | Mental Health | Current | Accepting new patients |
| Headlight Health Medical Group PLLC | Mental Health | Current | Accepting new patients |
| Sokyahealth Medical Group PC | Mental Health | Current | Accepting new patients |
| Shashita Inamdar MD Professional Corporation | Past | Accepting new patients |
Locations
880 82nd Dr
Gladstone, OR 97027
Phone (503) 626-9494
2222 E Powell Blvd
Gresham, OR 97080
Phone (503) 669-4300
4800 S Macadam Ave
Ste 230
Portland, OR 97239
Phone (866) 657-6592
8555 SW Apple Way
Ste 320
Portland, OR 97225
Phone (503) 298-4592
700 NE Multnomah St
Ste 870
Portland, OR 97232
Phone (503) 238-5559
18765 SW Boones Ferry Rd
Ste 100
Tualatin, OR 97062
Phone (503) 612-1000
Interoperability endpoints
- david.kline.p1@direct.sokya.nextgenshare.com
- lifestancehealth.davidkline@148835.advancedmd-direct.com
Organizations & group practices 5
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.
-
- Mental Health Counselor
- Portland, OR
- NPI 1447842232
-
dba LifeStance Health
- Clinical Psychologist
- Tacoma, WA
- NPI 1912008178
Mental Health, OR
-
dba LifeStance Health
- Clinical Psychologist
- Vancouver, WA
- NPI 1629345731
Mental Health
-
- Psychiatry Physician
- San Diego, CA
- NPI 1902220809
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1443139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639440000000",
"number": "1588034193",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 601422",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921601422",
"telephone_number": "877-840-6956"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8555 SW APPLE WAY STE 320",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972251775",
"telephone_number": "877-840-6956"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLINE",
"first_name": "DAVID",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-09-25",
"last_updated": "2021-12-14",
"certification_date": "2021-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "OR",
"license": "3283",
"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 Dec 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.