Insight Haven LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

INSIGHT HAVEN LLC

Practice address

9022 N Drummond Ave
Portland, OR 97217-7130

Phone

(971) 266-0647

NPI assigned

Oct 10, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Lindsey Nelson, PSYD

Title

Partner

Phone

(971) 266-0647

Specialties & licenses 3

Addresses

Other identifiers 2

Electronic endpoints 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lindsey Beth Lerner, PSY.D

  • Psychologist
  • Portland, OR
  • NPI 1346713450
  NPD
• Henri Shields, LCSW, CADCIII

  • Clinical Social Worker
  • Hood River, OR
  • NPI 1265745624

  Addiction (Substance Use Disorder)

  NPD (past)

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

{
    "created_epoch": "1665360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665360000000",
    "number": "1629793880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9022 N DRUMMOND AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972177130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9022 N DRUMMOND AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972177130",
            "telephone_number": "971-266-0647"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "515 Cameo Dr",
            "address_purpose": "LOCATION",
            "city": "Hood River",
            "state": "OR",
            "postal_code": "970316711",
            "country_code": "US",
            "telephone_number": "541-292-4777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "INSIGHT HAVEN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-10",
        "last_updated": "2022-10-10",
        "certification_date": "2022-10-10",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "LINDSEY",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "971-266-0647",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1346713450",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1962036483",
            "state": "OR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "insighthavenpdx.com",
            "affiliation": "N",
            "address_1": "9022 N Drummond Ave",
            "city": "Portland",
            "state": "OR",
            "country_code": "US",
            "postal_code": "972177130",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Clinical Psychologist in Portland, OR
• Providers in Portland, OR by specialty
• Clinical Psychologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 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.