Lisa Ann Nikunen, PSY.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

1316 Issued in OR

Practice address

1070 NW Murray Rd
Suite #3
Portland, OR 97229-5568

Phone

(503) 671-0520

Fax

(503) 671-0520

NPI assigned

Dec 2, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1228176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228176000000",
    "number": "1811132053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1070 NW MURRAY RD",
            "address_2": "SUITE #3",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972295568",
            "telephone_number": "503-671-0520",
            "fax_number": "503-671-0520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1070 NW MURRAY RD",
            "address_2": "SUITE #3",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972295568",
            "telephone_number": "503-671-0520",
            "fax_number": "503-671-0520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIKUNEN",
        "first_name": "LISA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-02",
        "last_updated": "2008-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OR",
            "license": "1316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joycelyn Niimi, O.D.
• Lai Niimi, LPT
• Yana A Nikitin
• Mykola Nikolaiev, LMT
• Vahagn Calvin Nikolian, M.D.
• Tara Crishann Nikzi, MAC. OM.
• Gajanan Nilaver, MD
• Jordan Alexander Niles
• Sally Lindsay Niles, MD
• Brit Amalie Nilsen, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2008; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.