Organization Active NPI

Cheatham Psychology Services LLC

  • Clinical Psychologist
  • Portland, OR
National Provider Identifier
1598232282
Registry record updated Aug 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
CHEATHAM PSYCHOLOGY SERVICES LLC
Practice address
7931 NE Halsey St Ste 202
Portland, OR 97213-6700
Phone
(971) 277-9984
NPI assigned
Oct 31, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2022

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

Authorized official

Name
Patrick James Cheatham, PSYD
Title
Licensed Psychologist
Phone
(971) 277-9984

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

7931 NE Halsey St Ste 202
Portland, OR 97213-6700

Mailing address

7931 NE Halsey St Ste 202
Portland, OR 97213-6700

National Provider Directory

National Provider Directory

Locations

7931 NE Halsey St
Ste 202
Portland, OR 97213
Phone (503) 282-1190

NPI Registry JSON

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

{
    "created_epoch": "1540944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661817600000",
    "number": "1598232282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7931 NE HALSEY ST STE 202",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972136700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7931 NE HALSEY ST STE 202",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972136700",
            "telephone_number": "971-277-9984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHEATHAM PSYCHOLOGY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-31",
        "last_updated": "2022-08-30",
        "certification_date": "2022-08-24",
        "status": "A",
        "authorized_official_last_name": "CHEATHAM",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "971-277-9984",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "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 Aug 30, 2022; 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.