Individual provider Active NPI

Christina Weiss, PSY.D.

  • Clinical Psychologist
  • Beaverton, OR
National Provider Identifier
1942787601
Registry record updated Jul 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2991 Issued in OR
Practice address
1791 NW 173Rd Ave Ste 140
Beaverton, OR 97006-5630
Phone
(503) 533-9806
NPI assigned
Jul 25, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2018

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 2991 OR Primary

Addresses

Primary practice location

1791 NW 173Rd Ave Ste 140
Beaverton, OR 97006-5630

Mailing address

19000 NW Evergreen Pkwy Apt 173
Hillsboro, OR 97124-7014
Phone (503) 351-3570

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective May 24, 2022 through May 24, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2991ORMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Harden Psychological Associates, P.C. Clinical PastSince May 23, 2016 Accepting new patients

Organizations & group practices 1

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": "1532476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532476800000",
    "number": "1942787601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19000 NW EVERGREEN PKWY APT 173",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971247014",
            "telephone_number": "503-351-3570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1791 NW 173RD AVE STE 140",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970065630",
            "telephone_number": "503-533-9806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISS",
        "first_name": "CHRISTINA",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-25",
        "last_updated": "2018-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OR",
            "license": "2991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaverton, OR

Sources for this page

Verify at the official NPI Registry.