Active NPI
Bobby L Trihub, PSYD
- Clinical Psychologist
- Newberg, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 2141
- Practice address
- 1901 Esther St
Newberg, OR 97132-9529 - Phone
- (503) 554-4359
- NPI assigned
- Jul 12, 2011
- Last updated
- Jul 16, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Psychologist | 103TA0400X | NU | ||
| Clinical Psychologist | 103TC0700X | 2141 | OR | Primary |
Addresses
Primary practice location
1901 Esther St
Newberg, OR 97132-9529
Mailing address
1901 Esther St
Newberg, OR 97132-9529
Phone (503) 554-4359
Other practice location 1
21370 SW Langer Farms Pkwy Ste 142-111
Sherwood, OR 97140-9137
Phone (971) 990-8177
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2141 | OR | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rooted Well, LLC | Addiction (Substance Use Disorder) | Current | Accepting new patients |
Locations
21370 SW Langer Farms Pkwy
Ste 142111
Sherwood, OR 97140
Phone (971) 990-8177
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Rooted Well Counseling
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Sherwood, OR
- NPI 1962242750
Addiction (Substance Use Disorder)
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1310428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721088000000",
"number": "1679861637",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1901 ESTHER ST",
"city": "NEWBERG",
"state": "OR",
"postal_code": "971329529",
"telephone_number": "503-554-4359"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1901 ESTHER ST",
"city": "NEWBERG",
"state": "OR",
"postal_code": "971329529",
"telephone_number": "503-554-4359"
}
],
"practiceLocations": [
{
"address_1": "21370 SW Langer Farms Pkwy Ste 142-111",
"address_purpose": "LOCATION",
"city": "Sherwood",
"state": "OR",
"postal_code": "971409137",
"country_code": "US",
"telephone_number": "971-990-8177",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TRIHUB",
"first_name": "BOBBY",
"middle_name": "L",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-07-12",
"last_updated": "2024-07-16",
"certification_date": "2024-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "103TA0400X",
"taxonomy_group": "",
"desc": "Psychologist, Addiction (Substance Use Disorder)",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "OR",
"license": "2141",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newberg, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.