M. Hundley Suber, LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

M. HUNDLEY SUBER, LLC

Practice address

4039 N Mississippi Ave Ste 309
Portland, OR 97227-1477

Phone

(971) 232-3412

Fax

(971) 203-7302

NPI assigned

Aug 9, 2019

Last updated

Apr 13, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Marion Hundley Suber, PSYDNPI 1205242112

Title

Licensed Psychologist

Phone

(971) 232-3412

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Marion Hundley Suber, PSYD

  • Clinical Psychologist
  • Portland, OR
  • NPI 1205242112
  NPD Authorized official

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

{
    "created_epoch": "1565308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712966400000",
    "number": "1750936373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4039 N MISSISSIPPI AVE STE 309",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972271477",
            "telephone_number": "971-232-3412",
            "fax_number": "971-203-7302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4039 N MISSISSIPPI AVE STE 309",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972271477",
            "telephone_number": "971-232-3412",
            "fax_number": "971-203-7302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M. HUNDLEY SUBER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-09",
        "last_updated": "2024-04-13",
        "certification_date": "2024-04-13",
        "status": "A",
        "authorized_official_last_name": "SUBER",
        "authorized_official_first_name": "MARION",
        "authorized_official_middle_name": "HUNDLEY",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "971-232-3412",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in Portland, OR
• Providers in Portland, OR by specialty
• Clinical Psychologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 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.

Verify at the official NPI Registry.