Individual provider Active NPI

Sarah Kleine, MS CCC SLP

  • Speech-Language Pathologist
  • Portland, OR
National Provider Identifier
1962054767
Registry record updated Aug 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
016543 Issued in OR
Practice address
1650 SE 3Rd Ave Ste 209
Portland, OR 97214-2093
Phone
(971) 284-7471
NPI assigned
Jul 11, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X
Speech-Language Pathologist 235Z00000X 016543 OR Primary

Addresses

Primary practice location

1650 SE 3Rd Ave Ste 209
Portland, OR 97214-2093

Mailing address

8923 SE Alder St
Portland, OR 97216-1609
Phone (971) 284-7471

Other practice location 1

17020 SW Upper Boones Ferry Rd Ste 201
Tigard, OR 97224-7078
Phone (503) 894-1539

Other practice location 2

833 SW 11th Ave Ste 620
Portland, OR 97205-2120
Phone (503) 894-1539

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sarah@happybrainspeech.com Direct

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
016543ORMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Parkwood Clinic LLC Speech-Language Pathologist Past 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": "1562803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693440000000",
    "number": "1962054767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8923 SE ALDER ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972161609",
            "telephone_number": "971-284-7471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 SE 3RD AVE STE 209",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972142093",
            "telephone_number": "971-284-7471"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17020 SW Upper Boones Ferry Rd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Tigard",
            "state": "OR",
            "postal_code": "972247078",
            "country_code": "US",
            "telephone_number": "503-894-1539",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "833 SW 11th Ave Ste 620",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972052120",
            "country_code": "US",
            "telephone_number": "503-894-1539",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KLEINE",
        "first_name": "SARAH",
        "credential": "MS CCC SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-11",
        "last_updated": "2023-08-31",
        "certification_date": "2023-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OR",
            "license": "016543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sarah@happybrainspeech.com",
            "affiliation": "N",
            "endpointDescription": "Email Clinician",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1650 SE 3rd Ave Ste 209",
            "city": "Portland",
            "state": "OR",
            "country_code": "US",
            "postal_code": "972142093",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Aug 31, 2023; 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.