Active NPI
Blume Therapy LLC
- Psychologist
- Portland, OR
National Provider Identifier
1669097267
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Legal business name
- BLUME THERAPY LLC
- Practice address
- 1220 SW Morrison St Ste 1100
Portland, OR 97205-2230 - Phone
- (503) 272-1215
- NPI assigned
- Jun 10, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Amy Christine Blume-Marcovici, PSYD
- Title
- Psychologist
- Phone
- (503) 272-1215
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | Primary |
Addresses
Primary practice location
1220 SW Morrison St Ste 1100
Portland, OR 97205-2230
Mailing address
11062 SW 16TH Dr
Portland, OR 97219-7602
Phone (503) 272-1215
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Psychologist
- Cambridge, MA
- NPI 1245522671
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591747200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1591747200000",
"number": "1669097267",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11062 SW 16TH DR",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972197602",
"telephone_number": "503-272-1215"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1220 SW MORRISON ST STE 1100",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972052230",
"telephone_number": "503-272-1215"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BLUME THERAPY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-06-10",
"last_updated": "2020-06-10",
"certification_date": "2020-06-10",
"status": "A",
"authorized_official_last_name": "BLUME-MARCOVICI",
"authorized_official_first_name": "AMY",
"authorized_official_middle_name": "CHRISTINE",
"authorized_official_title_or_position": "PSYCHOLOGIST",
"authorized_official_telephone_number": "503-272-1215",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PSYD"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": true
}
],
"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 Jun 10, 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.