Active NPI
Lindsay K. Heydenrych, PSY.D.
- Clinical Psychologist
- Tigard, OR
National Provider Identifier
1700107505
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 2079
- Practice address
- 7000 SW Hampton St Ste 125
Tigard, OR 97223-8317 - Phone
- (503) 810-7951
- NPI assigned
- Jun 15, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 2079 | OR | Primary |
Addresses
Primary practice location
7000 SW Hampton St Ste 125
Tigard, OR 97223-8317
Mailing address
PO Box 23183
Tigard, OR 97281-3183
Phone (503) 810-7951
Other practice location 1
720 SW Washington St
Suite 340
Portland, OR 97205-3537
Phone (503) 810-7951
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Jul 1, 2023 through Jul 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2079 | OR | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Insight Psychological Services LLC | Clinical | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Clinical Psychologist
- Portland, OR
- NPI 1376783423
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1700107505",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 23183",
"city": "TIGARD",
"state": "OR",
"postal_code": "972813183",
"telephone_number": "503-810-7951",
"fax_number": "503-406-4963"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7000 SW HAMPTON ST STE 125",
"city": "TIGARD",
"state": "OR",
"postal_code": "972238317",
"telephone_number": "503-810-7951"
}
],
"practiceLocations": [
{
"address_1": "720 SW Washington St",
"address_2": "Suite 340",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "972053537",
"country_code": "US",
"telephone_number": "503-810-7951",
"fax_number": "503-227-4212",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HEYDENRYCH",
"first_name": "LINDSAY",
"middle_name": "K.",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-15",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "OR",
"license": "2079",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tigard, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.