Individual provider Active NPI

Muoi Riley Nguyen Cole, PSYD

  • Psychologist
  • Keizer, OR
National Provider Identifier
1720215536
Registry record updated Oct 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
3131 Issued in OR
Practice address
132 Glynbrook St N Ste B
Keizer, OR 97303-5796
Phone
(503) 694-9900
NPI assigned
Jun 18, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 3131 OR Primary

Addresses

Primary practice location

132 Glynbrook St N Ste B
Keizer, OR 97303-5796

Mailing address

PO Box 4404
Tualatin, OR 97062-4404
Phone (503) 694-9900

Other practice location 1

1664 Broadway
El Cajon, CA 92021-5201
Phone (619) 579-8685

Other practice location 2

161 High St SE Ste 230
Salem, OR 97301-3620
Phone (503) 694-9900

Other names 1

  • Muoi Thi Nguyen Former name

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

LicenseStateTypeSpecialty
3131ORMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1245283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698364800000",
    "number": "1720215536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4404",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970624404",
            "telephone_number": "503-694-9900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 GLYNBROOK ST N STE B",
            "city": "KEIZER",
            "state": "OR",
            "postal_code": "973035796",
            "telephone_number": "503-694-9900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1664 Broadway",
            "address_purpose": "LOCATION",
            "city": "El Cajon",
            "state": "CA",
            "postal_code": "920215201",
            "country_code": "US",
            "telephone_number": "619-579-8685",
            "fax_number": "619-579-1969",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "161 High St SE Ste 230",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "OR",
            "postal_code": "973013620",
            "country_code": "US",
            "telephone_number": "503-694-9900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN COLE",
        "first_name": "MUOI",
        "middle_name": "RILEY",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-18",
        "last_updated": "2023-10-27",
        "certification_date": "2023-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OR",
            "license": "3131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MUOI",
            "last_name": "NGUYEN",
            "middle_name": "THI",
            "credential": "PSYD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Keizer, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2023; 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.