Individual provider Active NPI

Michael Frederick Hohn, PH.D.

  • Clinical Child & Adolescent Psychologist
  • Portland, OR
National Provider Identifier
1659601961
Registry record updated Jan 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X
License
1239 Issued in OR
Practice address
5520 SW Macadam Ave
Suite 260
Portland, OR 97239-3768
Phone
(971) 212-6576
Fax
(503) 206-8920
NPI assigned
Jan 8, 2010
Last updated
Jan 8, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 2010

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Child & Adolescent Psychologist 103TC2200X 1239 OR Primary
Intellectual & Developmental Disabilities Psychologist 103TM1800X 1239 OR
School Psychologist 103TS0200X 1239 OR

Addresses

Primary practice location

5520 SW Macadam Ave
Suite 260
Portland, OR 97239-3768

Mailing address

5520 SW Macadam Ave
Suite 260
Portland, OR 97239-3768
Phone (971) 212-6576

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
1239ORMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1262908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262908800000",
    "number": "1659601961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5520 SW MACADAM AVE",
            "address_2": "SUITE 260",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972393768",
            "telephone_number": "971-212-6576",
            "fax_number": "503-206-8920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5520 SW MACADAM AVE",
            "address_2": "SUITE 260",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972393768",
            "telephone_number": "971-212-6576",
            "fax_number": "503-206-8920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOHN",
        "first_name": "MICHAEL",
        "middle_name": "FREDERICK",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-01-08",
        "last_updated": "2010-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "OR",
            "license": "1239",
            "primary": true
        },
        {
            "code": "103TM1800X",
            "taxonomy_group": "",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": "OR",
            "license": "1239",
            "primary": false
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "OR",
            "license": "1239",
            "primary": false
        }
    ],
    "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 Jan 8, 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.