Active NPI
Gloria Londagin, PH.D.
- Psychologist
- Portland, OR
National Provider Identifier
1831318260
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 3176
- Practice address
- 3041 NE Alameda Ter
Portland, OR 97212-1631 - Phone
- (503) 224-8116
- NPI assigned
- Apr 24, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 3176 | OR | Primary |
| Clinical Psychologist | 103TC0700X | 3176 | OR |
Addresses
Primary practice location
3041 NE Alameda Ter
Portland, OR 97212-1631
Mailing address
3041 NE Alameda Ter
Portland, OR 97212-1631
Phone (503) 224-8116
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PSY31673 | Other | CA | PSYCHOLOGY LICENSE |
| 3176 | Other | OR | PSYCHOLOGY LICENSE |
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3176 | OR | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712966400000",
"number": "1831318260",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3041 NE ALAMEDA TER",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972121631",
"telephone_number": "503-224-8116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3041 NE ALAMEDA TER",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972121631",
"telephone_number": "503-224-8116"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LONDAGIN",
"first_name": "GLORIA",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-24",
"last_updated": "2024-04-13",
"certification_date": "2024-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "OR",
"license": "3176",
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "OR",
"license": "3176",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PSYCHOLOGY LICENSE",
"identifier": "PSY31673",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PSYCHOLOGY LICENSE",
"identifier": "3176",
"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 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.