Individual provider Active NPI

Alexander Charles Duncan, PSY.D., ABPP

  • Psychologist
  • Portland, OR
National Provider Identifier
1972741205
Registry record updated Jul 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
1912 Issued in OR
Practice address
6124 SE Milwaukie Ave Ste C
Portland, OR 97202-5347
Phone
(503) 807-7180
Fax
(503) 236-2700
NPI assigned
Jan 23, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 1912 OR Primary

Addresses

Primary practice location

6124 SE Milwaukie Ave Ste C
Portland, OR 97202-5347

Mailing address

PO Box 82287
Portland, OR 97282-0287
Phone (503) 807-7180

Other names 1

  • Dr. Alex Charles Duncan Other name

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

LicenseStateTypeSpecialty
1912ORMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1232668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279238400000",
    "number": "1972741205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 82287",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972820287",
            "telephone_number": "503-807-7180",
            "fax_number": "503-236-2700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6124 SE MILWAUKIE AVE STE C",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972025347",
            "telephone_number": "503-807-7180",
            "fax_number": "503-236-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNCAN",
        "first_name": "ALEXANDER",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "PSY.D., ABPP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-01-23",
        "last_updated": "2010-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OR",
            "license": "1912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEX",
            "last_name": "DUNCAN",
            "middle_name": "CHARLES",
            "prefix": "DR.",
            "credential": "PSY.D., ABPP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Jul 16, 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.