Active NPI
Azanet Cabezas, PSY.D
- Psychologist
- Tigard, OR
National Provider Identifier
1639398282
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 2257
- Practice address
- 7440 SW Hunziker St Ste F
Tigard, OR 97223-8237 - Phone
- (503) 596-2222
- NPI assigned
- Apr 24, 2007
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 2257 | OR | Primary |
Addresses
Primary practice location
7440 SW Hunziker St Ste F
Tigard, OR 97223-8237
Mailing address
7440 SW Hunziker St Ste F
Tigard, OR 97223-8237
Phone (503) 596-2222
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 |
|---|---|---|---|
| 2257 | OR | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Balance Center for Children and Families, LLC | 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 Social Worker
- Tigard, OR
- NPI 1619219524
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1464134400000",
"number": "1639398282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7440 SW HUNZIKER ST STE F",
"city": "TIGARD",
"state": "OR",
"postal_code": "972238237",
"telephone_number": "503-596-2222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7440 SW HUNZIKER ST STE F",
"city": "TIGARD",
"state": "OR",
"postal_code": "972238237",
"telephone_number": "503-596-2222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CABEZAS",
"first_name": "AZANET",
"name_prefix": "Dr.",
"credential": "PSY.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-24",
"last_updated": "2016-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "OR",
"license": "2257",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tigard, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.