Active NPI
Ruby Louisa Berdine, PSY.D
- Clinical Psychologist
- Portland, OR
National Provider Identifier
1598919680
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 2275
- Practice address
- 3939 NE Hancock St Ste 316
Portland, OR 97212-5321 - Phone
- (971) 227-2063
- Fax
- (503) 325-2821
- NPI assigned
- Nov 16, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 2275 | OR | Primary |
Addresses
Primary practice location
3939 NE Hancock St Ste 316
Portland, OR 97212-5321
Mailing address
2841 NE 21St Ave
Portland, OR 97212-3408
Phone (971) 227-2063
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2275 | OR | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tierra Firma LLC | 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.
-
- Clinical Psychologist
- Astoria, OR
- NPI 1275912503
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1226793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750636800000",
"number": "1598919680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2841 NE 21ST AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972123408",
"telephone_number": "971-227-2063"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3939 NE HANCOCK ST STE 316",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972125321",
"telephone_number": "971-227-2063",
"fax_number": "503-325-2821"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERDINE",
"first_name": "RUBY",
"middle_name": "LOUISA",
"name_prefix": "Dr.",
"credential": "PSY.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-11-16",
"last_updated": "2025-06-23",
"certification_date": "2025-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "OR",
"license": "2275",
"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 Jun 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.