Individual provider Active NPI

James Richard Rountree, PHD

  • Clinical Psychologist
  • Lake Oswego, OR
National Provider Identifier
1841360385
Registry record updated Oct 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1014 Issued in OR
Practice address
9 Monroe Parkway
Suite 280
Lake Oswego, OR 97035-8867
Phone
(503) 635-9281
Fax
(503) 635-8411
NPI assigned
Nov 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 1014 OR Primary

Addresses

Primary practice location

9 Monroe Parkway
Suite 280
Lake Oswego, OR 97035-8867

Mailing address

9 Monroe Parkway
Suite 280
Lake Oswego, OR 97035-8867
Phone (503) 635-9281

Other identifiers 1

IdentifierTypeStateIssuer
115225MedicaidOR

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20120206000318 OR Practitioner - Clinical Psychologist 9335306273 Practice locations: Lake Oswego, OR

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

9 Monroe Pkwy
Suite 280
Lake Oswego, OR 97035-8867
Phone (503) 635-9281

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Family Crossroads Inc. Past Accepting new patients
Kendra J. Summers, PHD Clinical Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319587200000",
    "number": "1841360385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 MONROE PARKWAY",
            "address_2": "SUITE 280",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970358867",
            "telephone_number": "503-635-9281",
            "fax_number": "503-635-8411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 MONROE PARKWAY",
            "address_2": "SUITE 280",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970358867",
            "telephone_number": "503-635-9281",
            "fax_number": "503-635-8411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROUNTREE",
        "first_name": "JAMES",
        "middle_name": "RICHARD",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-09",
        "last_updated": "2011-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OR",
            "license": "1014",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "115225",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Oswego, OR

Sources for this page

Verify at the official NPI Registry.