Individual provider Active NPI

Judy Ann Hart, PSYD

  • Psychologist
  • Hillsboro, OR
National Provider Identifier
1720094956
Registry record updated May 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
2984 Issued in OR
Practice address
1925 NE Stucki Ave
Hillsboro, OR 97006-6945
Phone
(503) 906-5000
NPI assigned
Jul 31, 2006
Last updated
May 28, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 2984 OR Primary

Addresses

Primary practice location

1925 NE Stucki Ave
Hillsboro, OR 97006-6945

Mailing address

3268 SE Hawthorne Blvd Apt 207
Portland, OR 97214-5071
Phone (503) 545-8489

Other identifiers 2

IdentifierTypeStateIssuer
500708610MedicaidOR
2123145MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190329001891 OR Practitioner - Other (Physician) 9537409529 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Practice roles

OrganizationSpecialtyStatusNew patients
Native American Rehabilitation Assoc Inc Current Accepting new patients
Native American Rehabilitation Assoc Inc CurrentSince Jan 15, 2019 Accepting new patients
Native American Rehabilitation Assoc Inc CurrentSince Jan 15, 2019 Accepting new patients

Locations

12360 E Burnside St
Portland, OR 97233
Phone (971) 279-4800

1631 SW Columbia St
Portland, OR 97201
Phone (503) 231-2641

1776 SW Madison St
Portland, OR 97205
Phone (503) 224-1044

211 SE Caruthers St
Portland, OR 97214
Phone (503) 224-1044

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779926400000",
    "number": "1720094956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3268 SE HAWTHORNE BLVD APT 207",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972145071",
            "telephone_number": "503-545-8489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1925 NE STUCKI AVE",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "970066945",
            "telephone_number": "503-906-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HART",
        "first_name": "JUDY",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-31",
        "last_updated": "2026-05-28",
        "certification_date": "2026-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OR",
            "license": "2984",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500708610",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2123145",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsboro, OR

Sources for this page

Verify at the official NPI Registry.