Moving Boundaries, Inc

Primary specialty

PsychologistTaxonomy code 103T00000X

License

1082 Issued in OR

Legal business name

MOVING BOUNDARIES, INC

Practice address

1375 SW Blaine CT
Gresham, OR 97080-5383

Phone

(503) 661-4126

Fax

(503) 661-5304

NPI assigned

Mar 20, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Elizabeth Kirkhart, PH.D.

Title

Vice President

Phone

(503) 661-4126

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669597530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1375 SW BLAINE CT",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970805383",
            "telephone_number": "503-661-4126",
            "fax_number": "503-661-5304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1375 SW BLAINE CT",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970805383",
            "telephone_number": "503-661-4126",
            "fax_number": "503-661-5304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOVING BOUNDARIES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KIRKHART",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "503-661-4126",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "OR",
            "license": "1082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.