NPIMap

Organization Active NPI

Victoria Ravensberg, Psy.D., LLC

  • Clinical Psychologist
  • Tigard, OR
National Provider Identifier
1871862532
Registry record updated Dec 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1740 Issued in OR
Legal business name
VICTORIA RAVENSBERG, PSY.D., LLC
Practice address
14050 SW Pacific Hwy Ste 210
Tigard, OR 97224-4890
Phone
(503) 536-3855
Fax
(503) 670-1034
NPI assigned
Dec 23, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2011

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

Authorized official

Name
Dr. Victoria Ravensberg, PSY.D.NPI 1982755716
Title
Manager, Licensed Psychologist
Phone
(503) 536-3855

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 1740 OR Primary

Addresses

Primary practice location

14050 SW Pacific Hwy Ste 210
Tigard, OR 97224-4890

Mailing address

14050 SW Pacific Hwy Ste 210
Tigard, OR 97224-4890
Phone (503) 536-3855

National Provider Directory

National Provider Directory

Locations

14050 SW Pacific Hwy
Ste 210
Tigard, OR 97224
Phone (503) 536-3855

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": "1324598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324598400000",
    "number": "1871862532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14050 SW PACIFIC HWY STE 210",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972244890",
            "telephone_number": "503-536-3855",
            "fax_number": "503-670-1034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14050 SW PACIFIC HWY STE 210",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972244890",
            "telephone_number": "503-536-3855",
            "fax_number": "503-670-1034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORIA RAVENSBERG, PSY.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-23",
        "last_updated": "2011-12-23",
        "status": "A",
        "authorized_official_last_name": "RAVENSBERG",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_title_or_position": "MANAGER, LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "503-536-3855",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "OR",
            "license": "1740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tigard, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2011; 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.