Reena Nandihalli, DO

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

DO150142 Issued in OR

Practice address

5200 S Macadam Ave Ste 460
Portland, OR 97239-3836

Phone

(503) 272-1207

NPI assigned

Feb 21, 2007

Sex

Female

Sole proprietor

No

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)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: reenanandihalli@tdh.allscriptsdirect.net

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.

• Teladoc Health Medical Group, P.a.

  • Family Medicine Physician
  • Lewisville, TX
  • NPI 1245403567

  Psychiatry

  NPD
• Western Psychological and Counseling Services PC

  • Addiction (Substance Use Disorder) Counselor
  • Beaverton, OR
  • NPI 1669915344
  NPD (past)

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648425600000",
    "number": "1679618920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3729 SE YAMHILL ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972144352",
            "telephone_number": "734-358-3492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5200 S MACADAM AVE STE 460",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972393836",
            "telephone_number": "503-272-1207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NANDIHALLI",
        "first_name": "REENA",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-21",
        "last_updated": "2022-03-28",
        "certification_date": "2022-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "5101015671",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OR",
            "license": "DO150142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy K Dougherty MDPC
• Nancy Kahaner DO PC
• Nancy Ledbetter RN, CNS, Apng, Aocns
• Nancy Wood
• Nancy Yen Shipley MD LLC
• Maanasa Durga Nandula, MA
• Nani Waddoups Counseling
• Nanise Azee LLC
• Afshan A Nanji, M.D.
• Simon Charles Nankivell, MA

• Psychiatry Physician in Portland, OR
• Providers in Portland, OR by specialty
• Psychiatry Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2022; 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.