Active NPI
Ajay Dheer, MFT INTERN
- Marriage & Family Therapist
- Portland, OR
National Provider Identifier
1902499353
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- R6520
- Practice address
- 4531 SW Belmont St, Suite 117
Portland, OR 97215 - Phone
- (971) 361-8303
- NPI assigned
- Feb 17, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | R6520 | OR | Primary |
Addresses
Primary practice location
4531 SW Belmont St, Suite 117
Portland, OR 97215
Mailing address
9450 SW Gemini Dr
PMB 47569
Beaverton, OR 97008
Phone (610) 952-7424
Other practice location 1
230 Oak Grove St Apt 214
Minneapolis, MN 55403-3333
Phone (610) 952-7424
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R6520 | OR | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613520000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613520000000",
"number": "1902499353",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9450 SW GEMINI DR",
"address_2": "PMB 47569",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "97008",
"telephone_number": "610-952-7424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4531 SW BELMONT ST, SUITE 117",
"city": "PORTLAND",
"state": "OR",
"postal_code": "97215",
"telephone_number": "971-361-8303"
}
],
"practiceLocations": [
{
"address_1": "230 Oak Grove St Apt 214",
"address_purpose": "LOCATION",
"city": "Minneapolis",
"state": "MN",
"postal_code": "554033333",
"country_code": "US",
"telephone_number": "610-952-7424",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DHEER",
"first_name": "AJAY",
"credential": "MFT INTERN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-02-17",
"last_updated": "2021-02-17",
"certification_date": "2021-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "OR",
"license": "R6520",
"primary": true
}
],
"identifiers": [],
"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 Feb 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.