Chandra Mundon, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

2544 Issued in OR

Practice address

917 SW Oak St Ste 407B
Portland, OR 97205-2838

Phone

(510) 229-8541

NPI assigned

Nov 12, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1226448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586736000000",
    "number": "1649424003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2244 NE COUCH ST UNIT B",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972323525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "917 SW OAK ST STE 407B",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972052838",
            "telephone_number": "510-229-8541"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2325 Clement Ave",
            "address_purpose": "LOCATION",
            "city": "Alameda",
            "state": "CA",
            "postal_code": "945017061",
            "country_code": "US",
            "telephone_number": "510-629-6370",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUNDON",
        "first_name": "CHANDRA",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-12",
        "last_updated": "2020-04-13",
        "certification_date": "2020-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "PY60795371",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OR",
            "license": "2544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kinzie Munar, DPT
• Myrna Y. Munar, PHARM.D.
• Chad Muncrief, ND
• Tony D Munden, CADC2
• Susan Lynn Mundigel, CADCI
• Andrew John Mundt-Fettkether
• Lisa Ann Mungenast, CRM, PSS, THW
• Darby Joanne Munger
• Ute I Munger
• Elizabeth Elvi Mungovan

• 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 Apr 13, 2020; 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.