NPIMap

Individual provider Active NPI

John H Huffine, PH.D.

  • Psychologist
  • Bend, OR
National Provider Identifier
1629309349
Registry record updated Jan 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
1577 Issued in OR
Practice address
20332 Empire Ave
Suite F7
Bend, OR 97701-5712
Phone
(541) 382-1620
Fax
(801) 437-2984
NPI assigned
Jan 20, 2010
Last updated
Jan 20, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 1577 OR Primary

Addresses

Primary practice location

20332 Empire Ave
Suite F7
Bend, OR 97701-5712

Mailing address

20332 Empire Ave
Suite F7
Bend, OR 97701-5712
Phone (541) 382-1620

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
1577ORMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Second Nature Cascades Past Accepting new patients
Evoke Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1263945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263945600000",
    "number": "1629309349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20332 EMPIRE AVE",
            "address_2": "SUITE F7",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977015712",
            "telephone_number": "541-382-1620",
            "fax_number": "801-437-2984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20332 EMPIRE AVE",
            "address_2": "SUITE F7",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977015712",
            "telephone_number": "541-382-1620",
            "fax_number": "801-437-2984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUFFINE",
        "first_name": "JOHN",
        "middle_name": "H",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-01-20",
        "last_updated": "2010-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OR",
            "license": "1577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bend, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2010; 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.