Active NPI
Robin Bagai, PSY.D.
- Clinical Psychologist
- Portland, OR
National Provider Identifier
1619032307
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 1008
- Practice address
- 1306 NW Hoyt St Ste 208
Portland, OR 97209-2700 - Phone
- (503) 231-2966
- Fax
- (503) 274-2420
- NPI assigned
- Dec 24, 2006
- Sex
- Male
- 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 | 1008 | OR | Primary |
Addresses
Primary practice location
1306 NW Hoyt St Ste 208
Portland, OR 97209-2700
Mailing address
1306 NW Hoyt St Ste 208
Portland, OR 97209-2700
Phone (503) 231-2966
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 042486 | Medicaid | OR |
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 |
|---|---|---|---|
| 1008 | OR | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166918400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1619032307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1306 NW HOYT ST STE 208",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972092700",
"telephone_number": "503-231-2966",
"fax_number": "503-274-2420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1306 NW HOYT ST STE 208",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972092700",
"telephone_number": "503-231-2966",
"fax_number": "503-274-2420"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAGAI",
"first_name": "ROBIN",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-24",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "OR",
"license": "1008",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "042486",
"state": "OR"
}
],
"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 Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.