NPIMap

Organization Active NPI

Sharon M. Labs, PH.D., L.L.C.

  • Clinical Neuropsychologist
  • Portland, OR
National Provider Identifier
1730545468
Registry record updated Jan 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
608 Issued in OR
Legal business name
SHARON M. LABS, PH.D., L.L.C.
Practice address
2055 SW Mount Hood LN
Portland, OR 97239-1561
Phone
(503) 310-9333
Fax
(503) 221-4481
NPI assigned
Jan 11, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2016

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

Authorized official

Name
Sharon M. Labs, PH.D.NPI 1750371191
Title
Neuropsychologist/Member Manager
Phone
(503) 310-9333

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical NeuropsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103G00000X 608 OR Primary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X 608 OR
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X 608 OR
Health PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TH0004X 608 OR
Rehabilitation PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TR0400X 608 OR

Addresses

Primary practice location

2055 SW Mount Hood LN
Portland, OR 97239-1561

Mailing address

2055 SW Mount Hood LN
Portland, OR 97239-1561
Phone (503) 310-9333

Other identifiers 2

IdentifierTypeStateIssuer
1689700163OtherORNPI FOR SHARON M. LABS, PH.D., P.C.
150266MedicaidOR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1452470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452470400000",
    "number": "1730545468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2055 SW MOUNT HOOD LN",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972391561",
            "telephone_number": "503-310-9333",
            "fax_number": "503-221-4481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2055 SW MOUNT HOOD LN",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972391561",
            "telephone_number": "503-310-9333",
            "fax_number": "503-221-4481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHARON M. LABS, PH.D., L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-11",
        "last_updated": "2016-01-11",
        "status": "A",
        "authorized_official_last_name": "LABS",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "NEUROPSYCHOLOGIST/MEMBER MANAGER",
        "authorized_official_telephone_number": "503-310-9333",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "OR",
            "license": "608",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "OR",
            "license": "608",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "OR",
            "license": "608",
            "primary": false
        },
        {
            "code": "103TH0004X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Health",
            "state": "OR",
            "license": "608",
            "primary": false
        },
        {
            "code": "103TR0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Rehabilitation",
            "state": "OR",
            "license": "608",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI FOR SHARON M. LABS, PH.D., P.C.",
            "identifier": "1689700163",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "150266",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2016; 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.