Active NPI
Lorah A Sebastian, PHD
- Psychologist
- Portland, OR
National Provider Identifier
1982737532
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 631
- Practice address
- 5441 SW Macadam
Suite 102
Portland, OR 97239-3821 - Phone
- (503) 221-6946
- Fax
- (503) 222-5480
- NPI assigned
- Mar 13, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 631 | OR | Primary |
| Psychologist | 103T00000X | PY00003429 | WA | |
| Psychologist | 103T00000X | PSY936 | HI |
Addresses
Primary practice location
5441 SW Macadam
Suite 102
Portland, OR 97239-3821
Mailing address
5441 SW Macadam
Suite 102
Portland, OR 97239-3821
Phone (503) 221-6946
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
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY936 | HI | MD | Psychologist |
| 631 | OR | MD | Psychologist |
| PY00003429 | WA | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Barbara G. Isaacs, PH.D.,PC | 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.
-
- Point of Service
- Portland, OR
- NPI 1275707051
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1982737532",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5441 SW MACADAM",
"address_2": "SUITE 102",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972393821",
"telephone_number": "503-221-6946",
"fax_number": "503-222-5480"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5441 SW MACADAM",
"address_2": "SUITE 102",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972393821",
"telephone_number": "503-221-6946",
"fax_number": "503-222-5480"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEBASTIAN",
"first_name": "LORAH",
"middle_name": "A",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "OR",
"license": "631",
"primary": true
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "WA",
"license": "PY00003429",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "HI",
"license": "PSY936",
"primary": false
}
],
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.