Individual provider Active NPI

Angela Lynn Harman, PSY.D.

  • Psychologist
  • Portland, OR
National Provider Identifier
1629200274
Registry record updated Dec 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
1924 Issued in OR
Practice address
1219 SE Lafayette St
Portland, OR 97202-3802
Phone
(503) 765-5733
Fax
(971) 244-8583
NPI assigned
Aug 16, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 1924 OR Primary

Addresses

Primary practice location

1219 SE Lafayette St
Portland, OR 97202-3802

Mailing address

1219 SE Lafayette St
Portland, OR 97202-3802
Phone (503) 765-5733

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

LicenseStateTypeSpecialty
1924ORMDNaturopath

Practice roles

OrganizationSpecialtyStatusNew patients
Full Spectrum Therapy LLC CurrentSince Dec 24, 2023 Accepting new patients

Locations

1219 SE Lafayette St
Portland, OR 97202
Phone (503) 765-5733

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.

NPI Registry JSON

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

{
    "created_epoch": "1250380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702944000000",
    "number": "1629200274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1219 SE LAFAYETTE ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972023802",
            "telephone_number": "503-765-5733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1219 SE LAFAYETTE ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972023802",
            "telephone_number": "503-765-5733",
            "fax_number": "971-244-8583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARMAN",
        "first_name": "ANGELA",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-16",
        "last_updated": "2023-12-19",
        "certification_date": "2023-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OR",
            "license": "1924",
            "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 19, 2023; 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.