Active NPI
T Christopher Portman PHD PS
- Psychologist
- Bellingham, WA
National Provider Identifier
1982833448
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PY00001615
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Psychologist
- Bellingham, WA
- NPI 1063473353
-
- Clinical Psychologist
- Winthrop, WA
- NPI 1215074034
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.