Basic Mindfulness Portland, LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

1978 Issued in OR

Legal business name

BASIC MINDFULNESS PORTLAND, LLC

Practice address

1920 NW Johnson St
Suite 103
Portland, OR 97209-1325

Phone

(503) 719-5499

NPI assigned

Feb 18, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Janet M. Sims, PH.D.NPI 1790888659

Title

Co-Owner

Phone

(503) 719-5499

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Janet M Sims, JANET SIMS

  • Clinical Psychologist
  • Portland, OR
  • NPI 1790888659
  NPD (past) Authorized official

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

{
    "created_epoch": "1266451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266451200000",
    "number": "1902128804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 NW JOHNSON ST",
            "address_2": "SUITE 103",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972091325",
            "telephone_number": "503-719-5499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 NW JOHNSON ST",
            "address_2": "SUITE 103",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972091325",
            "telephone_number": "503-719-5499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BASIC MINDFULNESS PORTLAND, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-18",
        "last_updated": "2010-02-18",
        "status": "A",
        "authorized_official_last_name": "SIMS",
        "authorized_official_first_name": "JANET",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "503-719-5499",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "OR",
            "license": "1978",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "4220",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gina Nicole Bash, MD, PHD
• Chandra Marie Basham, M.D.
• Robert Bradley Basham, PH.D.
• Hillary Jayne Bashaw
• Fouzia Bashir, DENTAL HYGIENIST
• Shaunti Basil, PT, DPT
• Benjamin Basire
• Celeste Baskett, LCSW
• Heather A. Baskin, MD
• Lester Michael Baskin, MD

• 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 Feb 18, 2010; 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.