Organization Active NPI

T Christopher Portman PHD PS

  • Psychologist
  • Bellingham, WA
National Provider Identifier
1982833448
Registry record updated Jul 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY00001615 Issued in WA
Legal business name
T CHRISTOPHER PORTMAN PHD PS
Practice address
1118 Finnegan Way
Suite 104
Bellingham, WA 98225-6622
Phone
(360) 733-4502
Fax
(360) 733-7594
NPI assigned
Jul 6, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2009

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

Authorized official

Name
Nicolle White
Title
Office Manager
Phone
(360) 733-4502

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X PY00001615 WA Primary

Addresses

Primary practice location

1118 Finnegan Way
Suite 104
Bellingham, WA 98225-6622

Mailing address

1118 Finnegan Way
Suite 104
Bellingham, WA 98225-6622
Phone (360) 733-4502

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090812000327 WA Part B Supplier - Clinic/Group Practice 7315099215 Receives reassigned benefits from 1 practitioner
Practice locations: Bellingham, WA

National Provider Directory

National Provider Directory

Locations

1118 Finnegan Way
Ste 104
Bellingham, WA 98225
Phone (360) 733-4502

1201 13th St
Ste 102
Bellingham, WA 98225
Phone (360) 733-4502

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1246838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246838400000",
    "number": "1982833448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1118 FINNEGAN WAY",
            "address_2": "SUITE 104",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982256622",
            "telephone_number": "360-733-4502",
            "fax_number": "360-733-7594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1118 FINNEGAN WAY",
            "address_2": "SUITE 104",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982256622",
            "telephone_number": "360-733-4502",
            "fax_number": "360-733-7594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "T CHRISTOPHER PORTMAN PHD PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-06",
        "last_updated": "2009-07-06",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "NICOLLE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "360-733-4502"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "WA",
            "license": "PY00001615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.